Citation

Grigorian A, Nahmias J, Dolich M, Barrios C, Schubl SD, Sheehan B, Lekawa M. J. Child Adolesc. Psychiatr. Nurs. 2019; ePub(ePub): ePub.

Affiliation

Department of Surgery, Division of Trauma, Burns, and Surgical Critical Care, University of California, Irvine, California.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/jcap.12246

PMID

31328370

Abstract

OBJECTIVE: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

© 2019 Wiley Periodicals, Inc.

Language: en

Keywords

ADHD; bicycle; collisions; traumatic brain injury