Methylphenidate and the risk of burn injury among children with attention-deficit/hyperactivity disorder

Vincent Chin Hung Chen, Yao Hsu Yang, Ting Yu Kuo, Mong Liang Lu, Wei Ting Tseng, Tsai Yu Hou, Jia Ying Yeh, Charles Tzu Chi Lee, Yi Lung Chen, Min Jing Lee, Michael E. Dewey, Michael Gossop

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4 引文 斯高帕斯(Scopus)

摘要

AIMS: Attention-deficit/hyperactivity disorder (ADHD) is associated with a higher risk of burn injury than in the normal population. Nevertheless, the influence of methylphenidate (MPH) on the risk of burn injury remains unclear. This retrospective cohort study analysed the effect of MPH on the risk of burn injury in children with ADHD.

METHOD: Data were from Taiwan's National Health Insurance Research Database (NHIRD). The sample comprised individuals younger than 18 years with a diagnosis of ADHD (n = 90 634) in Taiwan's NHIRD between January 1996 and December 2013. We examined the cumulative effect of MPH on burn injury risk using Cox proportional hazards models. We conducted a sensitivity analysis for immortal time bias using a time-dependent Cox model and within-patient comparisons using the self-controlled case series model.

RESULTS: Children with ADHD taking MPH had a reduced risk of burn injury, with a cumulative duration of treatment dose-related effect, compared with those not taking MPH. Compared with children with ADHD not taking MPH, the adjusted hazard ratio for burn injury was 0.70 in children taking MPH for <90 days (95% confidence interval (CI) 0.64-0.77) and 0.43 in children taking MPH for ≥90 days (95% CI 0.40-0.47), with a 50.8% preventable fraction. The negative association of MPH was replicated in age-stratified analysis using time-dependent Cox regression and self-controlled case series models.

CONCLUSION: This study showed that MPH treatment was associated with a lower risk of burn injury in a cumulative duration of treatment dose-related effect manner.

原文英語
文章編號e146
頁(從 - 到)e146
期刊Epidemiology and Psychiatric Sciences
29
DOIs
出版狀態已發佈 - 七月 20 2020

ASJC Scopus subject areas

  • 流行病學
  • 公共衛生、環境和職業健康
  • 精神病學和心理健康

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