Résumé :
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[BDSP. Notice produite par INIST 1cWRR0x0. Diffusion soumise à autorisation]. Context A shortage of data exists on medical care use by persons with attention-deficit/hyperactivity disorder (ADHD). Objective To compare medical care use and costs among persons with and without ADHD. Design and Setting Population-based cohort study conducted in Rochester, Minn. Subjects All children born in 1976-1982 were followed up through 1995, using school and medical records to identify those with ADHD. The 4880 birth cohort members (mean age, 7.3 years) still residing in Rochester in 1987 were followed up in medical facility-linked billing databases until death, emigration, or December 31,1995. Main Outcome Measures Clinical diagnoses, likelihood and frequency of inpatient and outpatient hospitalizations, emergency department (ED) visits, and total medical costs (including ambulatory care), compared among individuals with and without ADHD. Results Among the 4119 birth cohort members who remained in the area through 1995 (mean age, 15.3 years), 7.5% (n=309) had met criteria for ADHD. Compared with persons without ADHD, those with ADHD were more likely to have diagnoses in multiple categories, including major injuries (59% vs 49% ; P<. and asthma vs p the proportion with any hospital inpatient outpatient or ed admission was higher for persons adhd those without respectively>
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