Evidence map›Paper›PMID 35962779›Full record

Observational studyJournal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc2022

Does attention-deficit/hyperactivity disorder increase the risk of minor blunt head trauma in children?

Murat Pakyurek, Mohamed Badawy, Irma T Ugalde, Paul Ishimine, Pradip P Chaudhari, Kevan McCarten-Gibbs, Ozra Nobari, Nathan Kuppermann, James F Holmes

Open access · greenAbstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 85% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 6 institutions in 1 country.

Murat PakyurekDepartment of Psychiatry and Behavioral Sciences, School of Medicine, UC Davis, Sacramento, California, USA.
Mohamed BadawyDepartment of Pediatrics, UT Southwestern, Dallas, Texas, USA.
Irma T UgaldeDepartment of Emergency Medicine, McGovern Medical School at UTHealth Houston, Houston, Texas, USA.
Paul IshimineDepartment of Emergency Medicine and Pediatrics, School of Medicine, University of California, San Diego, La Jolla, California, USA.
Pradip P ChaudhariDivision of Emergency and Transport Medicine, Children's Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, California, USA.
Kevan McCarten-GibbsDepartment of Emergency Medicine, UCSF Benioff Children's Hospital, Oakland, California, USA.
Ozra NobariDepartment of Psychiatry and Behavioral Sciences, School of Medicine, UC Davis, Sacramento, California, USA.ORCID 0000-0002-3313-6057
Nathan KuppermannDepartment of Emergency Medicine and Pediatrics, School of Medicine, UC Davis, Sacramento, California, USA.
James F HolmesDepartment of Emergency Medicine, School of Medicine, UC Davis, Sacramento, California, USA.ORCID 0000-0003-3270-2720
University of California, Davis · USChildren's Hospital of Los Angeles · USSouthwestern Medical Center · USThe University of Texas Health Science Center at Houston · USUCSF Benioff Children's Hospital · USUniversity of California San Diego · US

Funding

Validation of Decision Rules for CT Use in Children with Abdominal or Head TraumaR01HD084674 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F., KUPPERMANN, NATHAN · 2016 to 2020
$3.1M
NICHD NIH HHS R01 HD084674
6 · The paper itself

Abstract

problemIt is unclear if attention-deficit hyperactivity disorder (ADHD) increases the risk of head trauma in children.

methodsWe conducted a multicenter prospective observational study of children with minor blunt head trauma. Guardians were queried, and medical records were reviewed as to whether the patient had previously been diagnosed with ADHD. Enrolled patients were categorized based on their mechanism of injury, with a comparison of those with motor vehicle collision (MVC) versus non-MVC mechanisms.

findingsA total of 3410 (84%) enrolled children had ADHD status available, and 274 (8.0%; 95% confidence interval, CI: 7.1, 9.0%) had been diagnosed with ADHD. The mean age was 9.2 ± 3.5 years and 64% were males. Rates of ADHD for specific mechanisms of injury were: assaults: 23/131 (17.6%; 95% CI 11.5, 25.2%), automobile versus pedestrian 23/173 (13.3%; 95% CI: 8.6, 19.3%), bicycle crashes 26/148 (17.6%; 95% CI: 11.8, 24.7%), falls 107/1651 (6.5%; 95% 5.3, 7.8%), object struck head 31/421 (7.4%; 5.1, 10.3%), motorized vehicle crashes (e.g., motorcycle, motor scooter) 11/148 (7.4%; 3.8, 12.9%), and MVCs 46/704 (6.5%; 95% CI: 4.8, 8.6%).

conclusionChildren with ADHD appear to be at increased risk of head trauma from certain mechanisms of injury including assaults, auto versus pedestrian, and bicycle crashes but are not at an increased risk for falls.

Indexed as

Attention Deficit Disorder with HyperactivityCraniocerebral TraumaAccidents, TrafficChildChild, PreschoolFemaleHumansMaleattention-deficit hyperactivity disorderblunt head traumachildren mental health

Identifiers

PMID35962779
PMCPMC9637762
OpenAlexW4291230020

What OpenQuestion holds

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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.