Lindemann-et-al_2017_The risk of hospitalizations with injury diagnoses.pdf 778,23KB
1000 Titel
  • 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
1000 Autor/in
  1. Lindemann, Christina |
  2. Langner, Ingo |
  3. Banaschewski, Tobias |
  4. Garbe, Edeltraut |
  5. Mikolajczyk, Rafael T. |
1000 Erscheinungsjahr 2017
1000 LeibnizOpen
1000 Art der Datei
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2017-10-24
1000 Erschienen in
1000 Quellenangabe
  • 5: 220
1000 Copyrightjahr
  • 2017
1000 Lizenz
1000 Verlagsversion
  • |
  • |
1000 Ergänzendes Material
  • |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND: Attention 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. METHODS: The 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. RESULTS: The 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. CONCLUSION: Children 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.
1000 Sacherschließung
lokal Subtype of injuries
lokal Claims data
lokal Administrative data
lokal Sex differences
lokal Attention Deficit/Hyperactivity Disorder
lokal Germany
lokal Injuries
1000 Fachgruppe
  1. Medizin |
  2. Gesundheitswesen |
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
1000 Förderer
  1. Federal Ministry of Education and Research of Germany |
1000 Fördernummer
  1. 01ER0817
1000 Förderprogramm
  1. -
1000 Dateien
  1. The risk of hospitalizations with injury diagnoses
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Federal Ministry of Education and Research of Germany |
    1000 Förderprogramm -
    1000 Fördernummer 01ER0817
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6406735.rdf
1000 Erstellt am 2018-02-19T12:28:45.261+0100
1000 Erstellt von 266
1000 beschreibt frl:6406735
1000 Bearbeitet von 218
1000 Zuletzt bearbeitet Wed Jun 27 10:59:04 CEST 2018
1000 Objekt bearb. Wed Jun 27 10:59:04 CEST 2018
1000 Vgl. frl:6406735
1000 Oai Id
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1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
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