Attention Deficit Disorder and hospitalization due to injury among older adolescents in New South Wales,Australia

Abstract

The association between Attention Deficit Disorder (ADD) and injuries among children has long been studied. More recently, research interest has extended to the long-term consequences of childhood ADD in adolescents and young adults, mainly focusing on motor vehicle-related accidents, but not other injuries. Very little work has investigated the associations between individual characteristics, type of injuries, outcomes, and the diagnosis of ADD upon admission of injured patients to a hospital. To investigate these associations, this study used a population-based epidemiological design that analyzed data routinely collected on patients hospitalized due to injuries.

Results showed that younger, male, and more socioeconomically disadvantaged patients were more likely to be diagnosed with ADD upon admission. Significant association between different causes of injuries, in particular self-inflicted injuries, and diagnosis of ADD were also found. Patients diagnosed with ADD stayed in the hospital longer than others regardless of the cause of their injury. These results illustrate clearly that ADD is underrecognized among injured patients upon admission to hospitals. Information on the ADD status of injured patients is important for treatment decision making. A screening tool should be developed for assessing all injured patients upon admission to hospitals.

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References

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author .

Barkley, R.A. (1981). Hyperactive children: A handbook for diagnosis and treatment. New York: Guildford .

Barkley, R.A. , Guevremont, D.C. , Anastopoulos, A.D. , DuPaul, G J., & Shelton, T.L. (1993). Driving-related risks and outcomes of Attention Deficit Hyperactivity Disorder in adolescents and young adults: A 3- to 5-year follow up survey. Pediatrics , 92, 212-218.

Barkley, R.A. , Murphy, K.R. , & Kwasnik, D. (1996). Motor vehicle driving competencies and risks in teens and young adults with Attention Deficit Hyperactivity Disorder. Pediatrics, 98, 1089-1095.

Bijur, P. , Golding, J. , Haslum, M. , & Kurzon, M. (1988). Behavioral predictors of injury in school-age children. American Journal of Diseases of the Child, 142, 1307-1312.

Bijur, P.E. , Stewart-Brown, S. , & Butler, N. (1986). Children behavior and accidental injury in 11966 preschool children. American Journal of Diseases of the Child , 140, 487-492.

Christofell, K.K. , Donovan, M. , Schofer, J. , Wills, K. , Lavigne, J.V. , & Kids 'n' Cars Team (1996). Psychosocial factors in childhood pedestrian injury: A matched case-control study. Pediatrics, 97,33-42.

Conners, C.K. (1997). Conners' Rating Scales-Revised: Technical Manual . Toronto, ON: MHS.

Conners, C.K. , Erhardt, D. , & Sparrow E. (1999). Conners' Adult ADHD Rating Scales: Technical Manual . Toronto, ON: MHS.

10.

Davidson, L.L. (1987). Hyperactivity, antisocial behavior, and childhood injury: A critical analysis of the literature. Journal of Developmental and Behavioral Pediatrics, 8, 335-340.

11.

Davidson, L.L. , Taylor, E.A. , Sandberg, S.T. , & Thorley, G. (1992). Hyperactivity in school-age boys and subsequent risk of injury. Pediatrics, 90, 687-702.

12.

DiScala, C. , Lescohier, I. , Barthel, M. , & Li, G. (1998). Injuries to children with Attention Deficit Hyperactivity Disorder. Pediatrics, 102, 1415-1421.

13.

Hcia (1993). International Classification of Diseases, 9th Revision, Clinical Modification. Maryland : Author.

14.

Kirseh, R. , & Wirrell, E. (2001). Do cognitively normal children with epilepsy have a higher rate of injury than their nonepileptic peers? Journal of Child Neurology, 16, 100-104.

15.

Laufer, M. , Denhoff, E. , & Riverside, R. (1957). Hyperkinetic behavior syndrome in children. Journal of Pediatrics, 50, 463-474.

16.

McLennan, W. (1998). Australian Bureau of Statistics. Socio-economic Indexes for Areas. 2039. 0 Canberra: Commonwealth Government ofAustralia.

17.

Meyer, R.J. , Roelofs, H.A. , Bluestone, J. , & Redmond, S. (1963). Accidental injury to the preschool child. Journal of Pediatrics, 60, 95-105.

18.

Nada-Raja, S. , Langley, J.D. , McGee, R. , Williams, S.M. , Begg, D.J. , & Reeder A.I. (1997). Inattentive and hyperactive behaviors and driving offences in adolescence. Journal of American Academy of Child and Adolescence Psychially, 36, 515-522.

19.

NSW Department of Health (2002). Inpatient Statistics Collection. Retrieved July 12, 2002, from www.heatth.nsw.gov.au/im/ims/isc/index.htm).

20.

Pless, I. , Taylor, H.G. , & Arsenault, L. (1995). The relationship between vigilance deficits and traffic injuries involving children. Pediatrics, 95, 219-224.

21.

Satterfield, J.H. , Hoppe, C.M. , & Schell, A.M. (1982). A prospective study of delinquency in 110 adolescent boys with Attention Deficit Disorder and 88 normal adolescent boys. American Journal of Psychiatry, 139, 795-798.

22.

SPSS Inc. (1999). SPSS 10.0 for Windows. Illinois: Author.

23.

Wazana, A. (1997). Are there injury-prone children? A critical review of the literature. Canadian Journal of Psychiatry, 42, 602-610.

24.

Weiss, G. , & Hechtman, L. (1993). Hyperactive children grown up: ADHD in childhood, adolescents, and adults. New York: Guildford Press.

25.

Woodward, L.J. , Fergusson, D.M. , & Horwood, J. (2000). Driving outcomes of young people with attentional difficulties in adolescence. Journal of American Academy of Child and Adolescence Psychiatry, 39, 627-634.