Grigorian Areg, Nahmias Jeffry, Dolich Matthew, Barrios Cristobal, Schubl Sebastian D, Sheehan Brian, Lekawa Michael
Department of Surgery, Division of Trauma, Burns, and Surgical Critical Care, University of California, Irvine, California.
J Child Adolesc Psychiatr Nurs. 2019 Nov;32(4):171-176. doi: 10.1111/jcap.12246. Epub 2019 Jul 21.
The prevalence of attention deficit hyperactivity disorder (ADHD) in the general pediatric population is 7%, whereas the prevalence in trauma is unknown. We hypothesized pediatric patients with ADHD would have a higher risk of involvement in a mechanism of injury (MOI) requiring constant attention to surroundings, such as a bicycle collision.
The Pediatric Trauma Quality Improvement Program (2014-2016) was queried for patients with ADHD. Patients, less than 16 years of age, with ADHD were compared to those without ADHD.
The prevalence of ADHD was 2.5% (2,866). ADHD patients had higher risk for bicycle collision (odds ratio [OR], 1.85; 95% confidence interval [CI], 1.59-2.15; p < .001). ADHD bicyclists were less likely to wear a helmet (9.4% vs. 18.2%, p = .003) and had a higher rate of traumatic brain injury (TBI; 55.6% vs. 39.7%, p < .001), compared to non-ADHD bicyclists.
Pediatric ADHD patients have a 60% higher risk of being involved in a bicycle collision. ADHD patients that are involved in a bicycle collision are less likely to wear a helmet with a higher rate of TBI. Increased public awareness, education, and supervision may help reduce risk of bicycle collisions and TBI in this population.
注意缺陷多动障碍（ADHD）在普通儿科人群中的患病率为7%，而在创伤患者中的患病率尚不清楚。我们推测患有ADHD的儿科患者参与需要持续关注周围环境的损伤机制（MOI）的风险更高，例如自行车碰撞。
查询儿科创伤质量改进项目（2014 - 2016年）中患有ADHD的患者。将年龄小于16岁的ADHD患者与无ADHD的患者进行比较。
ADHD的患病率为2.5%（2866例）。ADHD患者发生自行车碰撞的风险更高（优势比[OR]，1.85；95%置信区间[CI]，1.59 - 2.15；p <.001）。与非ADHD骑自行车者相比，ADHD骑自行车者戴头盔的可能性较小（9.4%对18.2%，p =.003），且创伤性脑损伤（TBI）发生率更高（55.6%对39.7%，p <.001）。
儿科ADHD患者发生自行车碰撞的风险高60%。发生自行车碰撞的ADHD患者戴头盔的可能性较小，TBI发生率更高。提高公众意识、教育和监督可能有助于降低该人群中自行车碰撞和TBI的风险。
