Road Trauma in Teenage Male Youth with Childhood Disruptive Behavior Disorders: A Population Based Analysis
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{"title"=>"Road trauma in teenage male youth with childhood disruptive behavior disorders: A population based analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Donald A.", "last_name"=>"Redelmeier", "scopus_author_id"=>"7006152371"}, {"first_name"=>"William K.", "last_name"=>"Chan", "scopus_author_id"=>"57193919492"}, {"first_name"=>"Hong", "last_name"=>"Lu", "scopus_author_id"=>"57199201052"}], "year"=>2010, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "sgr"=>"78649930509", "doi"=>"10.1371/journal.pmed.1000369", "scopus"=>"2-s2.0-78649930509", "isbn"=>"1549-1676 (Electronic) 1549-1277 (Linking)", "pmid"=>"21125017", "pui"=>"360125768"}, "id"=>"735e8310-8ff0-369b-8750-5cf317a1d537", "abstract"=>"BACKGROUND: Teenage male drivers contribute to a large number of serious road crashes despite low rates of driving and excellent physical health. We examined the amount of road trauma involving teenage male youth that might be explained by prior disruptive behavior disorders (attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder).\\n\\nMETHODS AND FINDINGS: We conducted a population-based case-control study of consecutive male youth between age 16 and 19 years hospitalized for road trauma (cases) or appendicitis (controls) in Ontario, Canada over 7 years (April 1, 2002 through March 31, 2009). Using universal health care databases, we identified prior psychiatric diagnoses for each individual during the decade before admission. Overall, a total of 3,421 patients were admitted for road trauma (cases) and 3,812 for appendicitis (controls). A history of disruptive behavior disorders was significantly more frequent among trauma patients than controls (767 of 3,421 versus 664 of 3,812), equal to a one-third increase in the relative risk of road trauma (odds ratio  =  1.37, 95% confidence interval 1.22-1.54, p<0.001). The risk was evident over a range of settings and after adjustment for measured confounders (odds ratio 1.38, 95% confidence interval 1.21-1.56, p<0.001). The risk explained about one-in-20 crashes, was apparent years before the event, extended to those who died, and persisted among those involved as pedestrians.\\n\\nCONCLUSIONS: Disruptive behavior disorders explain a significant amount of road trauma in teenage male youth. Programs addressing such disorders should be considered to prevent injuries.", "link"=>"http://www.mendeley.com/research/road-trauma-teenage-male-youth-childhood-disruptive-behavior-disorders-population-based-analysis", "reader_count"=>47, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>1, "Researcher"=>12, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>6, "Student > Bachelor"=>2, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>1, "Researcher"=>12, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>6, "Student > Bachelor"=>2, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>18, "Agricultural and Biological Sciences"=>1, "Physics and Astronomy"=>1, "Psychology"=>14, "Social Sciences"=>2, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>18}, "Social Sciences"=>{"Social Sciences"=>2}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>14}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>7}}, "reader_count_by_country"=>{"Canada"=>1, "Italy"=>1}, "group_count"=>5}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/407859"], "description"=>"<div><h3>Background</h3><p>Teenage male drivers contribute to a large number of serious road crashes despite low rates of driving and excellent physical health. We examined the amount of road trauma involving teenage male youth that might be explained by prior disruptive behavior disorders (attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder).</p><h3>Methods and Findings</h3><p>We conducted a population-based case-control study of consecutive male youth between age 16 and 19 years hospitalized for road trauma (cases) or appendicitis (controls) in Ontario, Canada over 7 years (April 1, 2002 through March 31, 2009). Using universal health care databases, we identified prior psychiatric diagnoses for each individual during the decade before admission. Overall, a total of 3,421 patients were admitted for road trauma (cases) and 3,812 for appendicitis (controls). A history of disruptive behavior disorders was significantly more frequent among trauma patients than controls (767 of 3,421 versus 664 of 3,812), equal to a one-third increase in the relative risk of road trauma (odds ratio  =  1.37, 95% confidence interval 1.22–1.54, <em>p</em><0.001). The risk was evident over a range of settings and after adjustment for measured confounders (odds ratio 1.38, 95% confidence interval 1.21–1.56, <em>p</em><0.001). The risk explained about one-in-20 crashes, was apparent years before the event, extended to those who died, and persisted among those involved as pedestrians.</p><h3>Conclusions</h3><p>Disruptive behavior disorders explain a significant amount of road trauma in teenage male youth. Programs addressing such disorders should be considered to prevent injuries.</p><h3></h3><p><em>Please see later in the article for the Editors' Summary</em></p></div>", "links"=>[], "tags"=>["disruptive", "based"], "article_id"=>140555, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Road_Trauma_in_Teenage_Male_Youth_with_Childhood_Disruptive_Behavior_Disorders_A_Population_Based_Analysis/140555", "title"=>"Road Trauma in Teenage Male Youth with Childhood Disruptive Behavior Disorders: A Population Based Analysis", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-11-16 00:09:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/817591"], "description"=>"<p>Each analysis examines correlation of a history of a disruptive behavior disorder with higher relative risk of a crash. Event counts and sample size for each subgroup appear in square brackets. Results expressed as odds ratio (solid circle) and 95% confidence interval (horizontal line). Analyses of crash type, public roadway, and other vehicle involvement based on all controls. Results for full cohort appear at bottom and show odds ratio of 1.37 with 95% confidence interval 1.22–1.54.</p>", "links"=>[], "tags"=>["critical care and emergency medicine/trauma", "mental health/child and adolescent psychiatry", "pediatrics and child health/adolescent medicine", "public health and epidemiology", "surgery"], "article_id"=>487958, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Crash_risk_in_different_subgroups_/487958", "title"=>"Crash risk in different subgroups.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-11-16 02:12:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/817674"], "description"=>"<p>Each analysis examines correlation of psychiatric visit for a disruptive behavior disorder with higher relative risk of a crash. Estimates calculated in 1-y intervals based on whether patient had any psychiatric visit during corresponding year. Upper panel for patient age at visit and lower panel for time from visit to subsequent crash. Numbers above horizontal axis denote count of patients with a visit during interval. Findings expressed as odds ratio (solid circle) and 95% confidence interval (vertical line). Results show increases years before the crash and potential maximum at age 10 y.</p>", "links"=>[], "tags"=>["psychiatric"], "article_id"=>488047, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Timing_of_prior_psychiatric_visit_and_crash_risk_/488047", "title"=>"Timing of prior psychiatric visit and crash risk.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-11-16 02:14:07"}
  • {"files"=>["https://ndownloader.figshare.com/files/817752"], "description"=>"<p>Data are count (percentage) except where noted as mean±standard deviation.</p>a<p>May not sum to 100% owing to rounding and missing values.</p>b<p>Saturday and Sunday denote weekend.</p>", "links"=>[], "tags"=>["critical care and emergency medicine/trauma", "mental health/child and adolescent psychiatry", "pediatrics and child health/adolescent medicine", "public health and epidemiology", "surgery"], "article_id"=>488119, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patient_characteristics_/488119", "title"=>"Patient characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-11-16 02:15:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/817780"], "description"=>"<p>ADHD, attention deficit hyperactivity disorder (code 314); Other, other disruptive behavior disorders (code 312, 313).</p>a<p>From univariate analysis correlating cluster with increased crash risk.</p>", "links"=>[], "tags"=>["disruptive"], "article_id"=>488155, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Crash_risk_according_to_cluster_of_disruptive_behavior_disorders_/488155", "title"=>"Crash risk according to cluster of disruptive behavior disorders.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-11-16 02:15:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/817816"], "description"=>"<p>Data are count (percentage) except where noted as mean ± standard deviation.</p>a<p>Codes are ICD9 codes extracted from outpatient records in decade prior to admission.</p>b<p>Denotes outpatient visit to board-certified psychiatrist.</p>", "links"=>[], "tags"=>["critical care and emergency medicine/trauma", "mental health/child and adolescent psychiatry", "pediatrics and child health/adolescent medicine", "public health and epidemiology", "surgery"], "article_id"=>488184, "categories"=>["Mental Health", "Medicine", "Biotechnology"], "users"=>["Donald A. Redelmeier", "William K. Chan", "Hong Lu"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000369.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prior_diagnoses_/488184", "title"=>"Prior diagnoses.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-11-16 02:16:24"}

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Relative Metric

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