tailieunhanh - Báo cáo y học: " Economic burden and comorbidities of attention-deficit/hyperactivity disorder among pediatric patients hospitalized in the United States"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Economic burden and comorbidities of attention-deficit/hyperactivity disorder among pediatric patients hospitalized in the United States. | Meyers et al. Child and Adolescent Psychiatry and Mental Health 2010 4 31 http content 4 1 31 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Economic burden and comorbidities of attention-deficit hyperactivity disorder among pediatric patients hospitalized in the United States Il 111nI lwiCSc-cr nHcci2 I iiocl c A iafar h 53 f ndrllll4 Juliana Meyers Peter Classi Linda vvieteciid Sean cdiiuiHH Abstract Background This retrospective database analysis used ddtd from the Healthcare Cost and Utilization Project s Nationwide Inpatient Sample NIS to examine common primary diagnoses among children and adolescents hospitalized with a secondary diagnosis of attention- deficit hyperactivity disorder ADHD and assessed the burden of ADHD. Methods Hospitalized children aged 6-11 years and adolescents aged 12-17 years with a secondary diagnosis of ADHD were identified. The 10 most common primary diagnoses using the first 3 digits of the ICD-9-CM code were reported for each age group. Patients with 1 of these conditions were selected to analyze demographics length of stay LOS and costs. Control patients were selected if they had 1 of the 10 primary diagnoses and no secondary ADHD diagnosis. Patient and hospital characteristics were reported by cohort . patients with ADHD vs. controls and LOS and costs were reported by primary diagnosis. Multivariable linear regression analyses were undertaken to adjust LOS and costs based on patient and hospital characteristics. Results A total of 126 056 children and 204 176 adolescents were identified as having a secondary diagnosis of ADHD. Among children and adolescents with ADHD the most common diagnoses tended to be mental health related . affective psychoses emotional disturbances conduct disturbances depressive disorder or adjustment reaction . Other common diagnoses included general symptoms asthma in children only and acute appendicitis. Among patients with ADHD a higher percentage were male white and