Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2017 Jul;9(2):95-105.
doi: 10.5249/jivr.v9i2.858. Epub 2016 Nov 16.

Attention deficit/hyperactivity disorder and risk of injuries: A systematic review and meta-analysis

Shahrokh Amiri, Homayoun Sadeghi-Bazargani  1 , Soulmaz Nazari, Fatemeh Ranjbar, Salman Abdi
Affiliations
Meta-Analysis

Attention deficit/hyperactivity disorder and risk of injuries: A systematic review and meta-analysis

Shahrokh Amiri et al. J Inj Violence Res. 2017 Jul.

Abstract

Background: This study systematically reviewed the literature in order to determine the effect of Attention-Deficit Hyperactivity Disorder (ADHD) on injuries and assessed the magnitude of the potential association.

Methods: A systematic review of the studies examining the association of ADHD and injuries was carried out across multiple databases. Odds ratios and standardized mean differences were pooled.

Results: A total of 35 studies were selected for quantitative analysis. The association of ADHD and injuries was confirmed over the meta-analysis of eligible studies. The odds ratio pooled over all comparative studies was 1.96(95% CI: 1.6-2.4) using random effects model. Pooled odds ratio of 2.1 and 2.17 were calculated respectively when cohort and case-control studies or just cohort studies were included. The pooled odds ratio reduced to 1.8(CI:1.45-2.3) when studies on specific injuries were removed. For studies comparing scores of rating scales, the pooled standardized mean difference was 0.61(95% CI: 0.03-1.2).

Conclusions: Those with ADHD are nearly two times more likely to be injured.

PubMed Disclaimer

Conflict of interest statement

Ethical approval: The study was approved by committee of ethics in Tabriz University of Medical Sciences.

Figures

Figure 1
Figure 1. PRISMA flow chart for the studies systematically reviewed to investigate the association between attention deficit/hyperactivity disorder and injuries
Figure 2
Figure 2. Forest plot of the meta-analysis of all comparative studies assessing the association of attention deficit/hyperactivity disorder and injuries
Figure 3
Figure 3. Forest plot of the meta-analysis of cohort and case-control studies assessing the association of attention deficit / hyperactivity disorder and injuries
Figure 4
Figure 4. Funnel plot to assess the asymmetry due to heterogeneity or potential publication biasAsymmetry not confirmed using begg’s test on asymmetry of funnel plot
Figure 5
Figure 5. Forest plot of the meta-analysis of studies assessing the association of injuries and the score of attention deficit/hyperactivity disorder rating scales
Figure 6
Figure 6. Forest plot of the meta-analysis of all comparative studies assessing the association of attention deficit/hyperactivity disorder and injuries according to age groups
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Sattin RW, Corso PS. The Epidemiology and Costs of Unintentional and Violent Injuries. In: Doll SL, Bonzo SE, Sleet DA, Mercy JA,(eds). Handbook of Injury and Violence Prevention, 1st ed. US: Springer, 2007.
    1. World Health Organization. Global status report on road safety 2013:Supporting a decade of action. Geneva:WHO,2013.
    1. Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns. 2011 Nov;37(7):1087–100. - PubMed
    1. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997 May;349(9063):1436–42. - PubMed
    1. Sadeghi-Bazargani H, Maghsoudi H, Soudmand-Niri M, Ranjbar F, Mashadi-Abdollahi H. Stress disorder and PTSD after burn injuries: a prospective study of predictors of PTSD at Sina Burn Center, Iran. Neuropsychiatr Dis Treat. 2011;7:425–9. - PMC - PubMed

MeSH terms