Burns
Volume 30, Issue 2 , Pages 148-150, March 2004

Burn injuries in children with attention-deficit/hyperactivity disorder

  • R.S Mangus

      Affiliations

    • Department of Surgery, School of Medicine, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202, USA
    • Corresponding Author InformationCorresponding author. Fax: +1-317-274-8769.
  • ,
  • D Bergman

      Affiliations

    • Department of Plastic Surgery, School of Medicine, Indiana University, Indianapolis, IN 46202, USA
  • ,
  • M Zieger

      Affiliations

    • Department of Plastic Surgery, School of Medicine, Indiana University, Indianapolis, IN 46202, USA
  • ,
  • J.J Coleman

      Affiliations

    • Department of Plastic Surgery, School of Medicine, Indiana University, Indianapolis, IN 46202, USA

Accepted 4 September 2003.

Abstract 

Purpose: Children with attention-deficit/hyperactivity disorder (ADHD) are at increased risk for traumatic injury than non-ADHD-children. Burn injuries in ADHD-children have not been studied. This study was conducted to determine differences in burn injuries between these groups. Methods: The charts of all children ages 5–18, admitted over a 7-year period to a single regional pediatric burn center, were reviewed. ADHD-children were compared to non-ADHD-children regarding age and gender, type and extent of burn, and burn injury outcome. Findings: There were 278 children included, 35 (13%) having ADHD. ADHD-children were more likely male but did not differ in age compared to non-ADHD-children. ADHD-children were more likely to experience a thermal rather than flame burn (83% versus 58% thermal, P<0.01) and had more extensive burn injury (10% versus 5% median TBSA, P=0.03). The ADHD group had a longer length of stay (11 versus 7 days, P=0.05) and was less likely to be discharged to home (86% versus 93%, P=0.17). Conclusions: ADHD-children do differ from non-ADHD-children in their pattern and extent of burn injury. The impulsivity and vigilance deficits that characterize ADHD may place these children at higher risk for specific types of burn injuries.

Keywords:  Children, Burn injuries, Attention-deficit/hyperactivity disorder

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 This paper was presented at the meetings of the International Society for Burn Injury, Seattle, Washington, DC, August 2002.

PII: S0305-4179(03)00282-1

doi:10.1016/j.burns.2003.09.020

Burns
Volume 30, Issue 2 , Pages 148-150, March 2004