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Poster - 26
Prevalence of attention deficit hyperactivity disorder in school-aged children and adolescents born with esophageal atresia - preliminary results from a nationwide follow- up study in Sweden
E Öst*, E Gustafsson**, E Omling***, C Reilly****, H Engstrand Lilja*, J F Svensson*, L Jönsson*****, V Gatzinsky*****, N Högberg**, K Abrahamsson*****, T Wester******, M Dellenmark-Blom*******
*Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
**Department of Pediatric Surgery, University Children's Hospital, Uppsala, Sweden Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
***Department of Pediatric surgery, Skane University Hospital, Lund University, Lund, Sweden
****Department of Pediatric Surgery, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden Institute of Clinical Sciences, Department of Pediatrics, Queen Silvia Children's Hospital, Gothenburg, Sweden
*****Department of Pediatric Surgery, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden Institute of Clinical Sciences, Department of Pediatrics, University of Gothenburg, Gothenburg, Sweden
******Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden
*******Department of Pediatric Surgery, Queen Silvia Children’s Hospital, Gothenburg, Sweden Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
Purpose: A Swedish national registry study have shown that individuals with esophageal atresia (EA) have a higher risk of autism-spectrum disorder (ASD) and intellectual disability (ID) than individuals without the exposure. The aim of this study was to identify the prevalence and clinical predictors of symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in school-aged children (7-8 years) and adolescents (15-16 years) born with esophageal atresia (EA).
Method: A prospective national study including the four Swedish pediatric surgical hospitals, has been ongoing over the past 3 years (Ethical approval 2021-04051). The study is a collaboration between the four Swedish pediatric surgical hospitals. Parents of children aged 7-8 and 15-16 years completed a validated rating scale, SNAP-IV, covering symptoms of inattention, hyperactivity/impulsivity (criteria for ADHD from DSM-IV), and Oppositional Defiant Disorder (ODD) according to DSM-IV criteria. Norm values for SNAP-IV were used. Clinical data was collected via medical records. Data were analyzed using descriptive statistics and linear regression analysis was used to identify possible contributory factors. Significance level was p<0.05.
Results: Altogether, 104 parents completed the SNAP-IV; 58 parents of children aged 7-8 and 46 parents of adolescents aged 15-16. In the younger population 14% scored over in the at-risk range for inattention and 13% for hyperactivity/impulsivity. Regarding opposition/defiance the vast majority, 96%, scored within the normal range. In the adolescent group the vast majority scored under the cut-off on all subscales (inattention 98%, hyperactivity/impulsivity 98%, and opposition/defiance 100%). Birth, neonatal or clinical factors at one year of age failed to explain ADHD symptoms in children at follow-up.
Conclusion: ADHD symptoms found in the younger age population were not found in adolescents born with EA and were not associated with clinical factors. This information is important to identify school-aged children with EA in need of extra support in school.