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Órgano Oficial del Instituto Nacional de Pediatría

2023, Number 1

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Acta Pediatr Mex 2023; 44 (1)

History of fractures suggests ADHD in 5 to 10 years old undiagnosed children

García-Galicia A, Aréchiga-Santamaría A, Ramírez-Mendoza J, Montiel-Jarquín AJ, Colorado-Ramírez AE, Vázquez-Cruz E, Loría-Castellanos J

Language: Spanish
References: 31
Page: 7-13
PDF size: 235.89 Kb.


ABSTRACT

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) causes functional, personal and social impact. Its association with fractures is little studied in Mexico.
Objective: To determine the history of fractures suggested by ADHD in undiagnosed patients aged 5 to 10 years.
Patients and Methods: Comparative observational, cross-sectional study in patients aged 5-10 years without diagnosis of ADHD; two groups were formed (with and without history of fracture). SNAP-IV was applied to evaluate ADHD.
Results: A total of 206 patients were recruited. Group A: 106 children with a history of fracture, mean age was 7.56 years, males predominated 65%, the most frequent fracture site was upper limbs 57.5% and ADHD present in 66%. Group B: 100 patients with no history of fracture, mean age was 7.56 years, male predominated 66%, presence of ADHD in 44%. SNAP IV showed differences in total score, and by domains. The presence of ADHD 66% in group A and 44% in group B, χ2=10.111 p=0.001, OR=2.47 (IC95% 0.230-0.710), Phi-V=0.222, CC=0.216.
Conclusions: There is an association between ADHD and the presence of fractures in children aged 5-10. Those with ADHD are 2.5 more times risk of fracture.


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