Hyperkinetische Störungen bei Kindern und Jugendlichen in Deutschland: Administrative Prävalenz und regionale Unterschiede in der Diagnosehäufigkeit

Roick, Christiane; Waltersbacher, Andrea

doi:10.1055/s-0033-1349516

Cited by 4 publications

(4 citation statements)

References 10 publications

(17 reference statements)

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“…These findings are consistent with previous studies, in which children and adolescents with ADHD displayed a higher risk of injuries than healthy controls ( 10 , 12 , 14 , 21 ), and also in line with previous studies assessing injury patterns among children with ADHD ( 11 , 21 , 23 , 40 ). Although the country-specific setting might influence if children are diagnosed with ADHD, depending on diagnostic modalities and a threshold of symptom severity applied in routine health care (for example reflected in regional differences in prevalence or sex ratio of diagnosed cases) ( 41 , 42 ), and consequently in those diagnosed, the risk of injuries can be different, this does not seem to translate into different findings in our analysis.…”

Section: Discussionmentioning

confidence: 93%

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

et al. 2017

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BackgroundAttention deficit/hyperactivity disorder (ADHD) is a common neuropsychiatric disorder in children and adolescents worldwide, and children with ADHD have elevated risk of injuries. Our aim was to assess the risk of hospitalizations with injury diagnoses and their various subtypes in children and adolescents with newly diagnosed ADHD compared to those without ADHD, as well as to study sex effects on this risk in the setting of the German health care system.MethodsThe German Pharmacoepidemiological Research Database, in which 20 million insured from four statutory health insurances in Germany are included, was used to set up a matched cohort study of 3- to 17-year-old children and adolescents with and without ADHD. We calculated age-specific incidence rates and used Cox regression to obtain hazard ratios (HRs) for hospitalizations with injury diagnoses. We used the injury mortality diagnosis matrix for classification of injuries.ResultsThe matched cohort comprised a total of 75,300 children. The age-specific incidence rates for hospitalization with injury diagnosis for males with ADHD displayed a u-shaped form with highest incidences in the in the age groups 3–6 years [26.2 per 1,000 person-years; 95% confidence interval (CI) 20.5–33.0] and 18–21 years (28.6; 22.4–36.0). Girls with ADHD were less affected in younger age-groups, but the incidence rate for 18–21 year olds was similar to boys with ADHD (26.4; 17.4–38.4). The adjusted HR for children with ADHD was 1.40 (95% CI 1.30–1.49) compared to non-affected children. With respect to nature of injury, ADHD was associated with hospitalization with injury diagnoses of the internal organs, open wounds, and contusions but not with other injuries. With respect to body regions, children with ADHD were more prone to hospitalizations with injuries of the abdomen, traumatic brain injuries, other head injuries, and system-wide injuries such as poisoning and intoxication. No significant associations were seen for the other body regions. Differences between sexes were only seen for system-wide injuries.ConclusionChildren and adolescents with ADHD are at an increased risk for hospitalizations with diagnoses of injuries compared to non-affected children. Despite differences in health-care systems, the risk increase is at a similar level in Germany as in other countries.

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Section: Discussionmentioning

confidence: 93%

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

et al. 2017

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“…A prior meta-analysis by the same research group focused solely on attention deficit hyperactivity disorder (ADHD)/hyperkinetic disorder (HD) and found a prevalence of 5.3% (95% CI 5.0–5.6, Polanczyk et al [5]). An analysis of German Health claims data shows that the ADHD diagnosis prevalence increased from about 2.4% in 2001 to 6.1% in 2014 [6,7,8,9]. ADHD may also persist into adulthood [10].…”

Section: Introductionmentioning

confidence: 99%

Behavioral and Emotional Disorders and Transportation Noise among Children and Adolescents: A Systematic Review and Meta-Analysis

Schubert

Hegewald

Freiberg

et al. 2019

IJERPH

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Children and adolescents may be particularly vulnerable to environmental influences such as noise which can affect mental well-being. The aim of this systematic review was to evaluate the effect of transportation noise on behavioral and emotional disorders in children and adolescents using a meta-analytic approach. Therefore, we searched four databases (Pubmed, Embase, PsychINFO, and PSYNDEX) and grey literature until February of 2019. We identified 14 articles from 10 studies examining the effect of transportation noise exposure on the mental health of children. These studies predominately used the Strength and Difficulties Questionnaire (SDQ) and mainly focused on schoolchildren and adolescents aged 9–10 years and 15–17 years in Europe. Three studies could be included in the meta-analysis. In sum, the odds for hyperactivity/inattention and total difficulties was significantly increased by 11% (Odds Ratio, OR = 1.11 (95% Confidence Interval, CI 1.04–1.19), respectively 9% (95% CI 1.02–1.16) per 10 dB road traffic noise. Thus, we obtained evidence for an effect of road traffic noise on hyperactivity/inattention and total difficulties, although we could consider few studies. Future studies are needed that use similar techniques to assess outcomes and exposures at schools and in homes. This would make it possible to conduct an individual participant data pooled analysis of the data.

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“…Die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) stellt mit einer Prävalenzrate von ca. 3 bis 7 % weltweit (Deutschland: 4-5 %) eine der häufigsten psychischen Störungen bei Kindern und Jugendlichen dar [1][2][3][4]. Eine der meist zitierten Prävalenzstudien von Kessler et al gibt die ADHS-Prävalenz der erwachsenen Bevölkerung (18-44 Jahre) mit 4,4 % an [5].…”

Section: Hintergrundunclassified

“…Die Imputationen beruhen auf multiplen Regressionsverfahren auf Grundlage multivariater Normalverteilung (eine genaue Beschreibung des Verfahrens findet sich bei bei [24]). Für die Variable des sozioökonomischen Beschäftigungsstatus wird bei familienversicherten Kindern der Status des Elternteils als Mitglied verwendet 1 . Fehlt auch die Angabe des Mitglieds, sind wiederum Imputationsverfahren notwendig.…”

Section: Hintergrundunclassified

Determinanten für die Diagnosestellung einer ADHS – Eine Analyse anhand von GKV-Routinedaten –

Klora¹,

Zeidler²,

Linder³

et al. 2018

Fortschr Neurol Psychiatr

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Hyperkinetische Störungen bei Kindern und Jugendlichen in Deutschland: Administrative Prävalenz und regionale Unterschiede in der Diagnosehäufigkeit

Abstract: Regional differences in administrative prevalence rates and discrepancies in diagnosis coding by different physicians may indicate uncertainties regarding HK-diagnosis in routine health care. Future studies should analyse these associations more detailed.

Cited by 4 publications

References 10 publications

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

Behavioral and Emotional Disorders and Transportation Noise among Children and Adolescents: A Systematic Review and Meta-Analysis

Determinanten für die Diagnosestellung einer ADHS – Eine Analyse anhand von GKV-Routinedaten –

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