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注意缺陷多动障碍作为新型冠状病毒肺炎感染的一个风险因素

Attention-Deficit/Hyperactivity Disorder as a Risk Factor for COVID-19 Infection.

作者信息

Cohen Herman Avner, Gerstein Maya, Yaniv Noga, Richenberg Yael, Jacobson Eyal, Marton Shoval, Hoshen Moshe, Shkalim Zemer Vered

机构信息

Pediatric Ambulatory Community Clinic, Petach Tikva, Israel.

Tel-Aviv University, Israel.

出版信息

J Atten Disord. 2022 May;26(7):985-990. doi: 10.1177/10870547211044217. Epub 2021 Oct 20.

Abstract

OBJECTIVE

To postulate that ADHD is a potential risk factor for COVID-19 infection; to evaluate the COVID-19 risk factor on drug-treated ADHD subjects.

METHODS

A retrospective chart review was performed on ADHD subjects aged 6 to 18 years in Israel, who had undergone at least one COVID-19 test during the study period.

RESULTS

Of the 64,409 subjects included in the study, 6,207 (9.64%) had at least one positive COVID-19 test result, 13,300 (20.65%) were diagnosed with ADHD, and of whom 1,751 (13%) had purchased at least two ADHD medications 3 months prior to COVID-19 testing and were defined as being medically treated. Medically-treated ADHD subjects had a significantly lower likelihood to be infected with COVID-19 than untreated subjects.

CONCLUSION

Untreated ADHD patients seem to constitute a risk group for COVID-19 infection. Drug treatment ameliorates risk of spreading COVID-19 infection within the pediatric population and secondary spread in the general population.

摘要

目的

假设注意缺陷多动障碍(ADHD)是新型冠状病毒肺炎(COVID-19)感染的潜在风险因素;评估药物治疗的ADHD患者的COVID-19风险因素。

方法

对以色列6至18岁的ADHD患者进行回顾性病历审查,这些患者在研究期间至少接受过一次COVID-19检测。

结果

在纳入研究的64409名受试者中,6207名(9.64%)至少有一次COVID-19检测呈阳性,13300名(20.65%)被诊断为ADHD,其中1751名(13%)在COVID-19检测前3个月购买了至少两种ADHD药物并被定义为接受药物治疗。接受药物治疗的ADHD患者感染COVID-19的可能性明显低于未治疗的患者。

结论

未治疗的ADHD患者似乎是COVID-19感染的风险群体。药物治疗可降低COVID-19在儿童群体中传播以及在普通人群中二次传播的风险。

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