注意力缺陷/多动障碍与受伤风险：一项系统综述和荟萃分析。

Attention deficit/hyperactivity disorder and risk of injuries: A systematic review and meta-analysis.

作者信息

Amiri Shahrokh, Sadeghi-Bazargani Homayoun, Nazari Soulmaz, Ranjbar Fatemeh, Abdi Salman

机构信息

Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran. Email:

出版信息

J Inj Violence Res. 2017 Jul;9(2):95-105. doi: 10.5249/jivr.v9i2.858. Epub 2016 Nov 16.

BACKGROUND

This study systematically reviewed the literature in order to determine the effect of Attention-Deficit Hyperactivity Disorder (ADHD) on injuries and assessed the magnitude of the potential association.

METHODS

A systematic review of the studies examining the association of ADHD and injuries was carried out across multiple databases. Odds ratios and standardized mean differences were pooled.

RESULTS

A total of 35 studies were selected for quantitative analysis. The association of ADHD and injuries was confirmed over the meta-analysis of eligible studies. The odds ratio pooled over all comparative studies was 1.96(95% CI: 1.6-2.4) using random effects model. Pooled odds ratio of 2.1 and 2.17 were calculated respectively when cohort and case-control studies or just cohort studies were included. The pooled odds ratio reduced to 1.8(CI:1.45-2.3) when studies on specific injuries were removed. For studies comparing scores of rating scales, the pooled standardized mean difference was 0.61(95% CI: 0.03-1.2).

CONCLUSIONS

Those with ADHD are nearly two times more likely to be injured.

背景

本研究系统回顾了文献，以确定注意力缺陷多动障碍（ADHD）对受伤情况的影响，并评估潜在关联的程度。

方法

对多个数据库中研究ADHD与受伤之间关联的研究进行了系统回顾。汇总了比值比和标准化均数差。

结果

共选择35项研究进行定量分析。通过对符合条件的研究进行荟萃分析，证实了ADHD与受伤之间的关联。使用随机效应模型，所有比较研究汇总的比值比为1.96（95%可信区间：1.6 - 2.4）。当纳入队列研究和病例对照研究或仅队列研究时，汇总比值比分别计算为2.1和2.17。当去除关于特定损伤的研究时，汇总比值比降至1.8（可信区间：1.45 - 2.3）。对于比较评定量表分数的研究，汇总标准化均数差为0.61（95%可信区间：0.03 - 1.2）。