Adolescents With ADHD Do Not Take Longer to Recover From Concussion

Frontiers in Pediatrics

Paul D. Berkner¹  Bruce Maxwell²  Ross Zafonte³  Grant L. Iverson⁵  Nathan E. Cook⁷ 

[1] College of Osteopathic Medicine, University of New England, Biddeford, ME, United States;Department of Computer Science, Colby College, Waterville, ME, United States;Department of Physical Medicine and Rehabilitation, Brigham and Women's Hospital, Boston, MA, United States;Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States;Discovery Center for Brain Injury and Concussion Recovery, Spaulding Research Institute, Charlestown, MA, United States;Mass General Hospital for Children Sports Concussion Program, Boston, MA, United States;Spaulding Rehabilitation Hospital, Charlestown, MA, United States;

关键词: attention deficit hyperactivity disorder (ADHD);    mild traumatic brain injury;    injury surveillance;    brain trauma;    outcome research;    prognosis;   

DOI  :  10.3389/fped.2020.606879

来源: DOAJ

【 摘 要 】

The objective of this study was to determine whether adolescents with attention-deficit/hyperactivity disorder (ADHD) have prolonged return to school and sports following concussion compared to those without ADHD and whether medication status or concussion history is associated with recovery time. We hypothesized that having ADHD would not be associated with longer recovery time. This prospective observational cohort study, conducted between 2014 and 2019, examined concussion recovery among school sponsored athletics throughout Maine, USA. The sample included 623 adolescents, aged 14–19 years (mean = 16.3, standard deviation = 1.3 years), 43.8% girls, and 90 (14.4%) reported having ADHD. Concussions were identified by certified athletic trainers. We computed days to return to school (full time without accommodations) and days to return to sports (completed return to play protocol) following concussion. Adolescents with ADHD [median days = 7, interquartile range (IQR) = 3–13, range = 0–45] did not take longer than those without ADHD (median days = 7, IQR = 3–13, range = 0–231) to return to school (U = 22,642.0, p = 0.81, r = 0.01; log rank: χ12 = 0.059, p = 0.81). Adolescents with ADHD (median days = 14, IQR = 10–20, range = 2–80) did not take longer than those without ADHD (median days = 15, IQR = 10–21, range = 1–210) to return to sports (U = 20,295.0, p = 0.38, r = 0.04; log rank: χ12 = 0.511, p = 0.48). Medication status and concussion history were not associated with longer recovery times. Adolescents with ADHD did not take longer to functionally recover following concussion. Recovery times did not differ based on whether adolescents with ADHD reported taking medication to treat their ADHD or whether they reported a prior history of concussion.

【 授权许可】

Unknown