Evidence map›Paper›PMID 31834065›Full record

ArticleThe Journal of head trauma rehabilitation

Impact of Secondary ADHD on Long-Term Outcomes After Early Childhood Traumatic Brain Injury.

Megan E Narad, Jacqlyn Riemersma, Shari L Wade, Julia Smith-Paine, Paige Morrison, H Gerry Taylor, Keith Owen Yeates, Brad G Kurowski

Open access · greenAbstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

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  4. Differences between parent- and teacher-reported executive functioning behaviors after traumatic injuries.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Megan E NaradDivisions of Behavioral Medicine and Clinical Psychology (Dr Narad) and Physical Medicine & Rehabilitation (Drs Wade and Kurowski and Ms Smith-Paine), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Departments of Pediatrics (Drs Narad, Wade, and Kurowski) and Neurology and Rehabilitation Medicine (Dr Kurowski), University of Cincinnati College of Medicine (Mss Riemersma and Morrison), Cincinnati, Ohio; Department of Psychology, University of Cincinnati, Cincinnati, Ohio (Ms Smith-Paine); Biobehavioral Health Center, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio (Dr Taylor); Department of Pediatrics, The Ohio State University, Columbus, Ohio (Dr Taylor); and Department of Psychology (Dr Yeates), Alberta Children's Hospital Research Institute (Dr Yeates), and Hotchkiss Brain Institute (Dr Yeates), University of Calgary, Calgary, Alberta, Canada.
Jacqlyn Riemersma
Shari L Wade
Julia Smith-Paine
Paige Morrison
H Gerry Taylor
Keith Owen Yeates
Brad G Kurowski
University of Cincinnati Medical Center · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Long Term Functional Outcomes of Early TBIR01HD042729 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI WADE, SHARI L · 2002 to 2013
$5.2M
Efficacy of Methylphenidate for Management of Long-term Attention Problems inTBIK23HD074683 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI KUROWSKI, BRAD G · 2013 to 2016
$426k
Online Family Based Problem Solving after Pediatric Traumatic Brain Injury: The Moderating Effect of Attention ProblemsF32HD088011 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI NARAD, MEGAN · 2016 to 2018
$126k
NCATS NIH HHS UL1 TR000077NICHD NIH HHS F32 HD088011NICHD NIH HHS K23 HD074683NICHD NIH HHS R01 HD042729
6 · The paper itself

Abstract

objectiveTo examine the impact of secondary attention-deficit/hyperactivity disorder (SADHD) on long-term global and executive functioning in adolescents after traumatic brain injury (TBI).

settingThree tertiary cared children's hospitals and 1 general hospital.

participantsOne hundred twenty children (TBI: n = 54; orthopedic injury: n = 66) without preinjury ADHD evaluated approximately 6.8 years postinjury.

designCross-sectional data analysis from a prospective, longitudinal study. MAIN MEASURES: Outcomes included functional impairment (Child and Adolescent Functional Assessment Scale) and executive functioning (Behavior Rating Inventory of Executive Function [BRIEF]).

resultsSADHD moderated the association of injury type with the BRIEF-Behavioral Regulation Index (F1,113 = 4.42, P = .04) and the Child and Adolescent Functional Assessment Scale (F1,112 = 8.95, P = .003). TBI was only associated with poorer outcomes in the context of SADHD. SADHD was also associated with poorer outcomes on the BRIEF-Global Executive Composite (F1,113 = 52.92, P < .0001) and BRIEF-Metacognitive Index scores (F1,113 = 48.64, P < .0001) across groups. Adolescents with TBI had greater BRIEF-Global Executive Composite scores than those with orthopedic injury (F1,113 = 5.00, P = .03).

conclusionsAlthough SADHD was associated with poorer functioning across groups, its adverse effects on behavioral regulation and overall functioning were amplified following TBI. TBI + SADHD may confer an elevated risk for significant impairments in early adolescence.

Indexed as

Attention Deficit Disorder with HyperactivityBrain Injuries, TraumaticAdolescentChildChild, PreschoolCross-Sectional StudiesExecutive FunctionFemaleHumansLongitudinal StudiesMaleProspective Studies

Identifiers

PMID31834065
PMCPMC7205557
OpenAlexW2994630451

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.