Association of Attention-Deficit/Hyperactivity Disorder Diagnoses With Pediatric Traumatic Brain Injury

Asarnow, Robert F.; Newman, Nina; Weiss, Robert E.; Su, Erica

doi:10.1001/jamapediatrics.2021.2033

Cited by 31 publications

(44 citation statements)

References 46 publications

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“…The number of males, included in this study was higher than the number of females, coinciding with other investigations carried out in Mexico and other countries [6,7]. Regarding the average age of the patients studied, it was similar to reported by another investigations [15,16]. However, it should be emphasized that the level of medical care of each institution, affected this variable.…”

Section: Discussionsupporting

confidence: 89%

Recovery Degree in Pediatric Patients with Antecedent Severe Traumatic Brain Injury in Mexico

Rivera

Vidal²,

Gonzalez³

et al. 2021

AJPR

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Aims: To determine the recovery degree in pediatric patients with antecedent severe traumatic brain injury. Study Design: Prospective, analytical and relational. Place and Duration of Study: Pediatrics Intensive Care Area of the “Hospital para el Niño Poblano” from March 2014 to February 2015. Methodology: Patients aged 2 to 192 months, both sexes, with antecedent severe traumatic brain injury. The degree of recovery was determined with the Glasgow Outcome Score (GOS) at hospital discharge and one year after. Descriptive and inferential statistics were used data analysis. Results: The study consisted of 23 patients, of which 69.56% were men. The mean age was 73.17±50.33 months. The predominant age group was middle childhood (34.78%). The main mechanism of injury was run over by a vehicle (39.13%). The group of toddler remained hospitalized for 17.50±8.58 days. Moreover, GOS at hospital discharge (p=0.391) and at one year (p=0.789) was not associated with sex. Additionally, an association of GOS at hospital discharge was found with GOS at one year of care (p=0.003), with greater improvement being observed, in those cases with less initial damage brain. Conclusion: The degree of recovery at one year after hospital discharge in pediatric patients with antecedent severe traumatic brain injury is associated with the degree of recovery at hospital discharge. Middle childhood, being the group at greatest risk. The complications can reduce the recovery of the patient. Rehabilitation therapy provided by the public health services and the family is of vital importance.

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Section: Discussionsupporting

confidence: 89%

Recovery Degree in Pediatric Patients with Antecedent Severe Traumatic Brain Injury in Mexico

Rivera

Vidal²,

Gonzalez³

et al. 2021

AJPR

View full text Add to dashboard Cite

show abstract

“…The findings from the scoping review supports the increased prevalence of new clinically significant attention problems and SADHD following injury in severe TBI ( 28 , 42 , 48 , 58 ), consistent with a recent meta-analysis of SADHD ( 24 ). The review also supports that there is a higher risk of new attention problems and SADHD in children and youth with low preinjury adaptive functioning ( 27 , 31 , 49 , 63 ), and when the injury occurs in early childhood (<7 years of age at time of injury) ( 29 , 42 , 54 , 59 , 63 ).…”

Section: Discussionsupporting

confidence: 83%

“…Future studies should examine new attention problems in more restricted age cohorts that are expected to differ in their recovery from TBI due to many important neurodevelopmental changes take place across childhood. At the severe end of the TBI spectrum where the association with an increased risk for attention problems and SADHD is noted in this review and elsewhere (24) future clinical intervention studies can consider exploring psychosocial factors identified in this review. For example, interventions focused on family functioning and parental style, which have been associated with more attention problems (42, 45,48), may prevent or attenuate the development of attention problems following injury.…”

Section: Discussionmentioning

confidence: 84%

“…Since the etiology of pre-existing ADHD and SADHD are likely to be different, assessing the existing literature that addresses SADHD specifically is necessary to guide future research that aims to determine its causes and provide treatment. A recent meta-analysis took the crucial step of controlling for or eliminating preinjury ADHD, but exclusively investigates whether there is an association between diagnosed ADHD and TBI ( 24 ). Given the dearth of synthesized literature capturing new attention problems, defined broadly, this review sought to formally assess what research evidence has been presented on the topic of attention problems that emerge after TBI in the literature to date.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children

et al. 2021

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Objective: To summarize existing knowledge about the characteristics of attention problems secondary to traumatic brain injuries (TBI) of all severities in children.Methods: Computerized databases PubMed and PsychINFO and gray literature sources were used to identify relevant studies. Search terms were selected to identify original research examining new ADHD diagnosis or attention problems after TBI in children. Studies were included if they investigated any severity of TBI, assessed attention or ADHD after brain injury, investigated children as a primary or sub-analysis, and controlled for or excluded participants with preinjury ADHD or attention problems.Results: Thirty-nine studies were included in the review. Studies examined the prevalence of and risk factors for new attention problems and ADHD following TBI in children as well as behavioral and neuropsychological factors associated with these attention problems. Studies report a wide range of prevalence rates of new ADHD diagnosis or attention problems after TBI. Evidence indicates that more severe injury, injury in early childhood, or preinjury adaptive functioning problems, increases the risk for new ADHD and attention problems after TBI and both sexes appear to be equally vulnerable. Further, literature suggests that cases of new ADHD often co-occurs with neuropsychiatric impairment in other domains. Identified gaps in our understanding of new attention problems and ADHD include if mild TBI, the most common type of injury, increases risk and what brain abnormalities are associated with the emergence of these problems.Conclusion: This scoping review describes existing studies of new attention problems and ADHD following TBI in children and highlights important risk factors and comorbidities. Important future research directions are identified that will inform the extent of this outcome across TBI severities, its neural basis and points of intervention to minimize its impact.

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“…The findings from the scoping review supports the increased prevalence of new clinically significant attention problems and SADHD following injury in severe TBI (28,42,48,58), consistent with a recent meta-analysis of SADHD (24). The review also supports that there is a higher risk of new attention problems and SADHD in children and youth with low preinjury adaptive functioning (27,31,49,63), and when the injury occurs in early childhood (<7 years of age at time of injury) (29,42,54,59,63).…”

Section: Discussionsupporting

confidence: 78%

Table_1.docx

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Association of Attention-Deficit/Hyperactivity Disorder Diagnoses With Pediatric Traumatic Brain Injury

Cited by 31 publications

References 46 publications

Recovery Degree in Pediatric Patients with Antecedent Severe Traumatic Brain Injury in Mexico

Recovery Degree in Pediatric Patients with Antecedent Severe Traumatic Brain Injury in Mexico

A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children

Table_1.docx

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