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Çocuklarda Dikkat Eksikliği ve Hiperaktivite Bozukluğu ile Minör Kafa Travmasının İlişkisi

Year 2020, Volume: 3 Issue: 4, 105 - 110, 31.12.2020

Abstract

Amaç: Dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) olan çocuklarda zehirlenme, ekstremite ve dental yaralanmaları gibi çoklu yaralanmaları artar. Çalışmamız, çocuklarda DEHB ile kafa travması arasındaki olası ilişkiyi araştırmayı amaçlamaktadır.

Gereç ve Yöntemler: Çalışmaya hafif kafa travması ile başvuran 200 çocuk (Grup 1) ve 131 sağlıklı çocuk (kontrol grubu) dâhil edildi. Hastaların ilk değerlendirme ve muayene aşamasından sonra, travma mekanizması, çocuk hakkında bilgiler ve birincil şikayetleri içeren tanımlayıcı bir form ile DEHB risk düzeyini belirlemek için Conner Ebeveyn Derecelendirme Ölçeği (CPRS) dolduruldu.

Bulgular: Minör kafa travması ile değerlendirilen 200 pediatrik hastanın 125'i erkek (% 62,5), 75'i kızdı (% 37,5). Ortalama yaş 7 idi ve en yaygın oluşum mekanizması n: 79 (% 39,5) hasta ile aynı seviyeden düşmeydi. Minör kafa travmalı hastalarda yapılan görüntüleme sonucunda 2 (% 1) hastada subdural hematom ve 8 (% 4) hastada lineer fraktür tespit edildi. Conner Ebeveyn Değerlendirme Ölçeği’ne göre DEHB oranları % 15 olarak bulundu. DEHB alt grup analizine göre çalışma popülasyonumuzda 59 (% 28,5) dikkat eksikliği, 21 (% 10,5) antagonizm, 63 (% 31,5) hiperaktivite ve 62 (% 31) davranış bozukluğu saptandı.

Sonuç: Tüm dünyada önemli bir halk sağlığı sorunu olan pediatrik kafa travması genellikle önlenebilir nedenlere bağlıdır. DEHB vakalarının travma nedeniyle olan başvurularında detaylı bir şekilde değerlendirilmesi, tanısal süreçleri başlatabilir, takip ve tedaviye olanak sağlayabilir.

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References

  • Li L, Liu J. The effect of pediatric traumatic brain injury on behavioral outcomes: a systematic review. Developmental medicine and child neurology. 2013;55(1):37-45.
  • Kuppermann N, Holmes JF, Dayan PS, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet (London, England). 2009;374(9696):1160-1170.
  • Danielson ML, Bitsko RH, Ghandour RM, et al. Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. 2018;47(2):199-212.
  • Visser SN, Danielson ML, Bitsko RH, et al. Convergent validity of parent-reported attention-deficit/hyperactivity disorder diagnosis: a cross-study comparison. JAMA pediatrics. 2013;167(7):674-675.
  • Chou IC, Lin CC, Sung FC, Kao CH. Attention-deficit hyperactivity disorder increases the risk of deliberate self-poisoning: A population-based cohort. European psychiatry : the journal of the Association of European Psychiatrists. 2014;29(8):523-527.
  • Komurcu E, Bilgic A, Herguner S. Relationship between extremity fractures and attention-deficit/hyperactivity disorder symptomatology in adults. International journal of psychiatry in medicine. 2014;47(1):55-63.
  • Thikkurissy S, McTigue DJ, Coury DL. Children presenting with dental trauma are more hyperactive than controls as measured by the ADHD rating scale IV. Pediatric dentistry. 2012;34(1):28-31.
  • Vaa T. ADHD and relative risk of accidents in road traffic: a meta-analysis. Accident; analysis and prevention. 2014;62:415-425.
  • Edition F. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing. 2013.
  • Conners CK, Sitarenios G, Parker JD, Epstein JN. The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. Journal of abnormal child psychology. 1998;26(4):257-268.
  • Meriçli EA, Turan F. SCALES-Dikkat Eksikliği Hiperaktivite Bozukluğu Okul ve Ev Derecelendirme Ölçeklerinin Karşılaştırılması ve Geçerlik-Güvenirlik Çalışması. Archives of Neuropsychiatry/Noropsikiatri Arsivi. 2014;51(3).
  • Davis PC. Head trauma. American Journal of Neuroradiology. 2007;28(8):1619-1621.
  • Stein SC, Burnett MG, Glick HA. Indications for CT scanning in mild traumatic brain injury: A cost-effectiveness study. The Journal of trauma. 2006;61(3):558-566.
  • Sharif-Alhoseini M, Khodadadi H, Chardoli M, Rahimi-Movaghar V. Indications for brain computed tomography scan after minor head injury. Journal of emergencies, trauma, and shock. 2011;4(4):472-476.
  • Haydel MJ, Shembekar AD. Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms. Annals of emergency medicine. 2003;42(4):507-514.
  • Avsar A, Akbas S, Ataibis T. Traumatic dental injuries in children with attention deficit/hyperactivity disorder. Dental traumatology : official publication of International Association for Dental Traumatology. 2009;25(5):484-489.
  • DiScala C, Lescohier I, Barthel M, Li G. Injuries to children with attention deficit hyperactivity disorder. Pediatrics. 1998;102(6):1415-1421.
  • Shilon Y, Pollak Y, Aran A, et al. Accidental injuries are more common in children with attention deficit hyperactivity disorder compared with their non-affected siblings. Child: care, health and development. 2012;38(3):366-370.
  • Dereboy Ç, Şenol S, Şener Ş, Dereboy F. Conners kısa form öğretmen ve ana baba derecelendirme ölçeklerinin geçerliği. Türk Psikiyatri Dergisi. 2007;18(1):48-58.
  • Culpepper L. Primary care treatment of attention-deficit/hyperactivity disorder. The Journal of clinical psychiatry. 2006;67 Suppl 8:51-58.
  • Faber A, Kalverdijk LJ, de Jong-van den Berg LT, et al. Parents report on stimulant-treated children in the Netherlands: initiation of treatment and follow-up care. Journal of child and adolescent psychopharmacology. 2006;16(4):432-440.
  • Dolan MA, Mace SE. Pediatric mental health emergencies in the emergency medical services system. American College of Emergency Physicians. Annals of emergency medicine. 2006;48(4):484-486.
  • Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder. Pediatrics. 2001;108(4):1033-1044.
  • Pelham WE, Foster EM, Robb JA. The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Journal of pediatric psychology. 2007;32(6):711-727.
  • Miller TW, Nigg JT, Faraone SV. Axis I and II comorbidity in adults with ADHD. Journal of abnormal psychology. 2007;116(3):519-528.

Evaluation of The Relationship Between Minor Head Trauma and Attention Deficit and Hyperactivity Disorder in Children

Year 2020, Volume: 3 Issue: 4, 105 - 110, 31.12.2020

Abstract

Aim: Multiple injuries, such as poisoning, limb and tooth injuries, increase in children with attention-deficit and hyperactivity disorder (ADHD). Our study aimed to investigate the possible relationship between ADHD and head trauma in children.

Material and Methods: 200 children (Group 1) and 131 healthy children (control group) who presented with minor head injury were included in the study. After the initial evaluation and examination phase of the patients, the risk level of ADHD was determined by filling in the Conner's Parent Rating Scale (CPRS) with a descriptive form containing trauma mechanism, information about the child, and primary complaints.

Results: Of the 200 pediatric patients who were evaluated with minor head trauma, 125 were male (62.5%) and 75 were girls (37.5%). The average age was 7, and the most common occurrence mechanism was np: 79 patients (39.5%) falling from the same level. Subdural hematoma in 2 (1%) patients and linear cranial fracture in 8 (4%) patients were detected as a result of the imaging performed by patients with minor head trauma. ADHD rates were found as 15% according to the Conner's Parent Rating Scale. According to the ADHD subgroup analysis in our study population 59 (28.5%) attention deficit, 21 (% 10.5) antagonism, 63 (%31.5) hyperactivity and 62 (%31) behavioral disorder were detected.

Conclusion: Pediatric head trauma, as a significant public health problem all over the world, is usually due to preventable causes. A detailed evaluation of ADHD cases as they are evaluated due to trauma can initiate the diagnostic processes and enable follow-up and treatment.

References

  • Li L, Liu J. The effect of pediatric traumatic brain injury on behavioral outcomes: a systematic review. Developmental medicine and child neurology. 2013;55(1):37-45.
  • Kuppermann N, Holmes JF, Dayan PS, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet (London, England). 2009;374(9696):1160-1170.
  • Danielson ML, Bitsko RH, Ghandour RM, et al. Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. 2018;47(2):199-212.
  • Visser SN, Danielson ML, Bitsko RH, et al. Convergent validity of parent-reported attention-deficit/hyperactivity disorder diagnosis: a cross-study comparison. JAMA pediatrics. 2013;167(7):674-675.
  • Chou IC, Lin CC, Sung FC, Kao CH. Attention-deficit hyperactivity disorder increases the risk of deliberate self-poisoning: A population-based cohort. European psychiatry : the journal of the Association of European Psychiatrists. 2014;29(8):523-527.
  • Komurcu E, Bilgic A, Herguner S. Relationship between extremity fractures and attention-deficit/hyperactivity disorder symptomatology in adults. International journal of psychiatry in medicine. 2014;47(1):55-63.
  • Thikkurissy S, McTigue DJ, Coury DL. Children presenting with dental trauma are more hyperactive than controls as measured by the ADHD rating scale IV. Pediatric dentistry. 2012;34(1):28-31.
  • Vaa T. ADHD and relative risk of accidents in road traffic: a meta-analysis. Accident; analysis and prevention. 2014;62:415-425.
  • Edition F. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing. 2013.
  • Conners CK, Sitarenios G, Parker JD, Epstein JN. The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. Journal of abnormal child psychology. 1998;26(4):257-268.
  • Meriçli EA, Turan F. SCALES-Dikkat Eksikliği Hiperaktivite Bozukluğu Okul ve Ev Derecelendirme Ölçeklerinin Karşılaştırılması ve Geçerlik-Güvenirlik Çalışması. Archives of Neuropsychiatry/Noropsikiatri Arsivi. 2014;51(3).
  • Davis PC. Head trauma. American Journal of Neuroradiology. 2007;28(8):1619-1621.
  • Stein SC, Burnett MG, Glick HA. Indications for CT scanning in mild traumatic brain injury: A cost-effectiveness study. The Journal of trauma. 2006;61(3):558-566.
  • Sharif-Alhoseini M, Khodadadi H, Chardoli M, Rahimi-Movaghar V. Indications for brain computed tomography scan after minor head injury. Journal of emergencies, trauma, and shock. 2011;4(4):472-476.
  • Haydel MJ, Shembekar AD. Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms. Annals of emergency medicine. 2003;42(4):507-514.
  • Avsar A, Akbas S, Ataibis T. Traumatic dental injuries in children with attention deficit/hyperactivity disorder. Dental traumatology : official publication of International Association for Dental Traumatology. 2009;25(5):484-489.
  • DiScala C, Lescohier I, Barthel M, Li G. Injuries to children with attention deficit hyperactivity disorder. Pediatrics. 1998;102(6):1415-1421.
  • Shilon Y, Pollak Y, Aran A, et al. Accidental injuries are more common in children with attention deficit hyperactivity disorder compared with their non-affected siblings. Child: care, health and development. 2012;38(3):366-370.
  • Dereboy Ç, Şenol S, Şener Ş, Dereboy F. Conners kısa form öğretmen ve ana baba derecelendirme ölçeklerinin geçerliği. Türk Psikiyatri Dergisi. 2007;18(1):48-58.
  • Culpepper L. Primary care treatment of attention-deficit/hyperactivity disorder. The Journal of clinical psychiatry. 2006;67 Suppl 8:51-58.
  • Faber A, Kalverdijk LJ, de Jong-van den Berg LT, et al. Parents report on stimulant-treated children in the Netherlands: initiation of treatment and follow-up care. Journal of child and adolescent psychopharmacology. 2006;16(4):432-440.
  • Dolan MA, Mace SE. Pediatric mental health emergencies in the emergency medical services system. American College of Emergency Physicians. Annals of emergency medicine. 2006;48(4):484-486.
  • Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder. Pediatrics. 2001;108(4):1033-1044.
  • Pelham WE, Foster EM, Robb JA. The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Journal of pediatric psychology. 2007;32(6):711-727.
  • Miller TW, Nigg JT, Faraone SV. Axis I and II comorbidity in adults with ADHD. Journal of abnormal psychology. 2007;116(3):519-528.
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Suna Eraybar 0000-0003-4306-9262

Serhat Atmaca 0000-0001-8066-6344

Yasemin Nennicioglu This is me 0000-0002-1661-1338

İbrahim Taymur 0000-0002-7017-4730

Melih Yüksel 0000-0002-0793-3693

Halil Kaya 0000-0003-2005-6100

Erol Armagan This is me 0000-0002-9856-0238

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 3 Issue: 4

Cite

AMA Eraybar S, Atmaca S, Nennicioglu Y, Taymur İ, Yüksel M, Kaya H, Armagan E. Evaluation of The Relationship Between Minor Head Trauma and Attention Deficit and Hyperactivity Disorder in Children. Anatolian J Emerg Med. December 2020;3(4):105-110.