Showing posts with label ADHD. Show all posts
Showing posts with label ADHD. Show all posts

Monday, December 15, 2014

Methylphenidate and Trauma-Related Emergency Department Visits Among Children with ADHD



Assistant Editor Mark Neuman, MD, MPH

It is well established that the use of medications for children with ADHD are associated with improvement in attention while lowering hyperactivity and impulsive behavior.  However, no prior studies have evaluated whether the use of methylphenidate is associated with a lower risk of traumatic injuries. 

Man et al. (doi: 10.1542/peds.2014-1738) conducted a study among over 17,000 children and adolescents prescribed methylphenidate to evaluate whether the rates of trauma-related emergency department visits were lower during periods of active treatment compared with off-treatment periods.

The study was conducted using a population-based reporting system in Hong Kong from 2001 to 2013.  Using patients as their own controls, they observed that the rate of trauma-related emergency department visits were lower during periods of methylphenidate exposure. This protective effect was observed in both males and females.  The study did not observe a similar reduction in non trauma-related emergency department visits attributable to methylphenidate use.

This study provides further proof of the benefits of methylphenidate use among children and adolescents with ADHD.

Do you agree with the findings presented?  Have you had patients on methylphenidate experience similar findings?  Share your thoughts on this issue via response to this blog, an eLetter, or on Facebook or Twitter.