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. 2020 May 13:16:1249-1255.
doi: 10.2147/NDT.S242153. eCollection 2020.

Association Between Attention Deficit Hyperactivity Disorder and Risk of Burn Injury: A Propensity-Matched Cohort Study

Jia-Yin Yeh  1 , Tsai-Yu Hou  1 , Wei-Ting Tseng  1 , Vincent Chin-Hung Chen  2   3 , Yao-Hsu Yang  4   5 , Ting-Yu Kuo  4 , Jun-Cheng Weng  6   7 , Charles Tzu-Chi Lee  8 , Yi-Lung Chen  9   10 , Min-Jing Lee  2   3
Affiliations

Association Between Attention Deficit Hyperactivity Disorder and Risk of Burn Injury: A Propensity-Matched Cohort Study

Jia-Yin Yeh et al. Neuropsychiatr Dis Treat. .

Abstract

Purpose: Literature suggests that attention deficit hyperactivity disorder (ADHD) is associated with a high risk of unintentional injury. However, few studies have focused on whether risk of burn injury is relatively high among patients with ADHD. The aim of this study was to investigate whether ADHD affects the risk of burn injury.

Materials and methods: Individuals aged <18 years with a current diagnosis of ADHD (N = 52,705) and age-, sex-, and other comorbidity-matched controls were selected from Taiwan's National Health Insurance Research Database for the period of January 1996 to December 2013. Burn injury was identified in both groups, and risk was evaluated using Cox proportional hazards models. We also explored the effects of age and sex on the association.

Results: We determined that patients with ADHD had an increased probability of burn injury compared with the control group (ADHD vs controls, 4.6% vs 2.6%; adjusted hazard ratio [aHR] = 1.78; 95% confidence interval [CI] = 1.66-1.90). The effect of ADHD on burn injury was more prominent among those aged <6 years (aHR = 1.96; 95% CI = 1.75-2.20) relative to those aged ≥6 years (aHR = 1.69; 95% CI = 1.56-1.83). Both sexes had similar risk profiles.

Conclusion: The study findings contribute to the increasing body of evidence that ADHD is associated with proneness to burn injury, particularly in children aged <6 years.

Keywords: ADHD; burn injury; cohort; propensity-matched.

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Conflict of interest statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart for selection of the study population.
See this image and copyright information in PMC

References

    1. Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics. 2015;135(4):e994–1001. doi:10.1542/peds.2014-3482 - DOI - PubMed
    1. Swanson JM. Role of executive function in ADHD. J Clin Psychiatry. 2003;64 Suppl 14(Suppl 14):35–39. - PubMed
    1. Chang Z, Lichtenstein P, D’Onofrio BM, Sjolander A, Larsson H. Serious transport accidents in adults with attention-deficit/hyperactivity disorder and the effect of medication: a population-based study. JAMA Psychiatry. 2014;71(3):319–325. doi:10.1001/jamapsychiatry.2013.4174 - DOI - PMC - PubMed
    1. Rowe R, Maughan B, Goodman R. Childhood psychiatric disorder and unintentional injury: findings from a national cohort study. J Pediatr Psychol. 2004;29(2):119–130. doi:10.1093/jpepsy/jsh015 - DOI - PubMed
    1. Tai YM, Gau SS, Gau CS. Injury-proneness of youth with attention-deficit hyperactivity disorder: a national clinical data analysis in Taiwan. Res Dev Disabil. 2013;34(3):1100–1108. doi:10.1016/j.ridd.2012.11.027 - DOI - PubMed