School of Psychology, University of Ottawa, Ottawa, Canada (Ms Lambert); Department of Neuroscience, Carleton University, Ottawa, Canada (Ms Lambert and Dr Holahan); and Complete Concussion Management Inc, Oakville, Ontario, Canada (Dr Marshall).
J Head Trauma Rehabil. 2021;36(2):120-127. doi: 10.1097/HTR.0000000000000621.
To describe and delineate the epidemiological profile of concussion injuries in individuals with attention-deficit/hyperactivity disorder (ADHD) by identifying characteristics associated with poorer outcomes.
One hundred forty-four multidisciplinary concussion-specialized clinics across Canada.
Two hundred twenty-two individuals with a diagnosis of ADHD aged 7 to 53 years who sustained a concussion within the last year.
Multicenter cohort study.
Candidate predictor variables (ie, age, sex, concussion history, loss of consciousness, and internalized and learning disorder comorbidities) were collected through oral interviews. Concussion outcomes (ie, symptom severity and total number of symptoms experienced) were assessed with the Sport Concussion Assessment Tool.
Older age, female sex, and the presence of an internalized disorder predicted poorer concussion outcomes in individuals with ADHD. Males with ADHD reported significantly worse concussion outcomes with increasing age, while outcomes remained fairly stable across age in females.
The current findings represent a promising step toward the optimization of concussion management in individuals with ADHD. With a more thorough understanding of the demographic and comorbidity variables, clinical care decisions and intervention strategies can be developed to help individuals with ADHD who might be at a higher risk of poorer outcomes following a concussion.
通过确定与较差结局相关的特征，描述和划定注意力缺陷/多动障碍（ADHD）个体脑震荡损伤的流行病学特征。
加拿大 144 家多学科脑震荡专科诊所。
222 名年龄在 7 至 53 岁之间、在过去一年中患有 ADHD 并遭受脑震荡的个体。
多中心队列研究。
通过口头访谈收集候选预测变量（即年龄、性别、脑震荡史、意识丧失以及内化和学习障碍合并症）。使用运动性脑震荡评估工具评估脑震荡结局（即症状严重程度和经历的总症状数）。
年龄较大、女性和内化障碍的存在预示着 ADHD 个体的脑震荡结局较差。患有 ADHD 的男性随着年龄的增长报告了明显更差的脑震荡结局，而女性的结局在整个年龄段都相对稳定。
目前的研究结果代表了优化 ADHD 个体脑震荡管理的一个有希望的步骤。通过更深入地了解人口统计学和合并症变量，可以制定临床护理决策和干预策略，以帮助那些在脑震荡后可能处于较差结局风险更高的 ADHD 个体。
