Tulosta
ADHD ja tapaturmariski
Lisätietoa aiheesta
28.12.2016
- ADHD:hen liittyy kohonnut tapaturmariski ja kohonnut tapaturmakuolleisuus lapsilla, nuorilla ja aikuisilla «Bonander C, Beckman L, Janson S ym. Injury risks in schoolchildren with attention-deficit/hyperactivity or autism spectrum disorder: Results from two school-based health surveys of 6- to 17-year-old c»1, «Dalsgaard S, Østergaard SD, Leckman JF ym. Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet 2015;385:2190-6 »2.
- Putoamiset, murtumat, pään alueen vammat, palovammat, haavat ja myrkytykset ovat tavallisempia kuin henkilöillä, joilla ei ole todettu ADHD:ta «Merrill RM, Lyon JL, Baker RK ym. Attention deficit hyperactivity disorder and increased risk of injury. Adv Med Sci 2009;54:20-6 »3.
- Nuoruudessa ja aikuisuudessa tapaturma-alttius jatkuu erityisesti liikenteessä «Erskine HE, Norman RE, Ferrari AJ ym. Long-Term Outcomes of Attention-Deficit/Hyperactivity Disorder and Conduct Disorder: A Systematic Review and Meta-Analysis. J Am Acad Child Adolesc Psychiatry 201»4, «Redelmeier DA, Chan WK, Lu H. Road trauma in teenage male youth with childhood disruptive behavior disorders: a population based analysis. PLoS Med 2010;7:e1000369 »5, «Fischer M, Barkley RA, Smallish L ym. Hyperactive children as young adults: driving abilities, safe driving behavior, and adverse driving outcomes. Accid Anal Prev 2007;39:94-105 »6.
- Esikouluikäisillä lapsilla, joilla on diagnosoitu ADHD, tapaturmariskin on katsottu olevan lähes 3-kertainen tyypillisesti kehittyneisiin lapsiin verrattuna «Lee LC, Harrington RA, Chang JJ ym. Increased risk of injury in children with developmental disabilities. Res Dev Disabil 2008;29:247-55 »7.
- Uhmakas asenne, tottelemattomuus, aggressiivinen käyttäytymistapa sekä samanaikainen käytös- tai päihdehäiriö lisäävät tapaturmariskiä «Dalsgaard S, Østergaard SD, Leckman JF ym. Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet 2015;385:2190-6 »2, «Garzon DL, Huang H, Todd RD. Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk? Arch Psychiatr Nurs 2008;22:288-96 »8, «Schwebel DC, Speltz ML, Jones K ym. Unintentional injury in preschool boys with and without early onset of disruptive behavior. J Pediatr Psychol 2002;27:727-37 »9, «Schwebel DC, Hodgens JB, Sterling S. How mothers parent their children with behavior disorders: implications for unintentional injury risk. J Safety Res 2006;37:167-73 »10.
- Sairaalahoitoon johtanut tapaturma näyttää johtuvan ADHD-oireisilla lapsilla ja nuorilla usein joko itseen kohdistetusta väkivallasta tai hyökkäyksen kohteeksi joutumisesta. Muihin tapaturmapotilaisiin verrattuna itseen kohdistuneen väkivallan riski on 6,27-kertainen (95 % luottamusväli 2,76–14,26) ja hyökkäyksen kohteeksi joutumisen riski 3,05-kertainen (95 % luottamusväli 1,31–7,06) «Lam LT. Attention deficit disorder and hospitalization owing to intra- and interpersonal violence among children and young adolescents. J Adolesc Health 2005;36:19-24 »11.
- ADHD-lääkitys (metyylifenidaatti) saattaa vähentää sairaalahoitoa vaativien tapaturmien riskiä lapsilla ja nuorilla, etenkin aivovammojen osalta «Dalsgaard S, Leckman JF, Mortensen PB ym. Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: a prospective cohort study. Lancet Psychiatry 2015;2:702-9 »12, «Man KK, Chan EW, Coghill D ym. Methylphenidate and the risk of trauma. Pediatrics 2015;135:40-8 »13, «Mikolajczyk R, Horn J, Schmedt N ym. Injury prevention by medication among children with attention-deficit/hyperactivity disorder: a case-only study. JAMA Pediatr 2015;169:391-5 »14.
Kirjallisuutta
- Bonander C, Beckman L, Janson S ym. Injury risks in schoolchildren with attention-deficit/hyperactivity or autism spectrum disorder: Results from two school-based health surveys of 6- to 17-year-old children in Sweden. J Safety Res 2016;58:49-56 «PMID: 27620934»PubMed
- Dalsgaard S, Østergaard SD, Leckman JF ym. Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet 2015;385:2190-6 «PMID: 25726514»PubMed
- Merrill RM, Lyon JL, Baker RK ym. Attention deficit hyperactivity disorder and increased risk of injury. Adv Med Sci 2009;54:20-6 «PMID: 19586835»PubMed
- Erskine HE, Norman RE, Ferrari AJ ym. Long-Term Outcomes of Attention-Deficit/Hyperactivity Disorder and Conduct Disorder: A Systematic Review and Meta-Analysis. J Am Acad Child Adolesc Psychiatry 2016;55:841-50 «PMID: 27663939»PubMed
- Redelmeier DA, Chan WK, Lu H. Road trauma in teenage male youth with childhood disruptive behavior disorders: a population based analysis. PLoS Med 2010;7:e1000369 «PMID: 21125017»PubMed
- Fischer M, Barkley RA, Smallish L ym. Hyperactive children as young adults: driving abilities, safe driving behavior, and adverse driving outcomes. Accid Anal Prev 2007;39:94-105 «PMID: 16919226»PubMed
- Lee LC, Harrington RA, Chang JJ ym. Increased risk of injury in children with developmental disabilities. Res Dev Disabil 2008;29:247-55 «PMID: 17582739»PubMed
- Garzon DL, Huang H, Todd RD. Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk? Arch Psychiatr Nurs 2008;22:288-96 «PMID: 18809121»PubMed
- Schwebel DC, Speltz ML, Jones K ym. Unintentional injury in preschool boys with and without early onset of disruptive behavior. J Pediatr Psychol 2002;27:727-37 «PMID: 12403863»PubMed
- Schwebel DC, Hodgens JB, Sterling S. How mothers parent their children with behavior disorders: implications for unintentional injury risk. J Safety Res 2006;37:167-73 «PMID: 16674977»PubMed
- Lam LT. Attention deficit disorder and hospitalization owing to intra- and interpersonal violence among children and young adolescents. J Adolesc Health 2005;36:19-24 «PMID: 15661592»PubMed
- Dalsgaard S, Leckman JF, Mortensen PB ym. Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: a prospective cohort study. Lancet Psychiatry 2015;2:702-9 «PMID: 26249301»PubMed
- Man KK, Chan EW, Coghill D ym. Methylphenidate and the risk of trauma. Pediatrics 2015;135:40-8 «PMID: 25511122»PubMed
- Mikolajczyk R, Horn J, Schmedt N ym. Injury prevention by medication among children with attention-deficit/hyperactivity disorder: a case-only study. JAMA Pediatr 2015;169:391-5 «PMID: 25686215»PubMed
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KÄYPÄ HOITO -SUOSITUS ADHD (aktiivisuuden ja tarkkaavuuden häiriö)
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