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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.

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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

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