Psychiatric and nonpsychiatric comorbidities among children with ADHD: an exploratory analysis of nationwide claims data in Germany

MK Akmatov, T Ermakova… - Journal of attention …, 2021 - journals.sagepub.com
MK Akmatov, T Ermakova, J Bätzing
Journal of attention disorders, 2021journals.sagepub.com
Objective: This study examined the full spectrum of comorbid disorders in all statutory-health-
insured children aged 5 to 14 years with ADHD in 2017 by using nationwide claims data in
Germany. Method: Children with ADHD (n= 258,662) were compared for the presence of
864 comorbid diseases with a control group matched by gender, age, and region of
residence (n= 2,327,958). Results: Among others, metabolic disorders (odds ratio [OR]=
9.18; 95% confidence interval [CI]=[8.43, 9.99]), viral pneumonia (OR= 4.95; 95% CI=[2.37 …
Objective
This study examined the full spectrum of comorbid disorders in all statutory-health-insured children aged 5 to 14 years with ADHD in 2017 by using nationwide claims data in Germany.
Method
Children with ADHD (n = 258,662) were compared for the presence of 864 comorbid diseases with a control group matched by gender, age, and region of residence (n = 2,327,958).
Results
Among others, metabolic disorders (odds ratio [OR] = 9.18; 95% confidence interval [CI] = [8.43, 9.99]), viral pneumonia (OR = 4.95; 95% CI = [2.37, 10.33]), disorders of white blood cells (OR = 4.55; 95% CI = [3.83, 5.40]), kidney failure (OR = 3.33; 95% CI = [2.65, 4.18]), hypertension (OR = 3.26; 95% CI = [3.00, 3.55]), obesity (OR = 2.85; 95% CI = [2.80, 2.91]), type 2 diabetes (OR = 2.61; 95% CI = [2.11, 3.23]), migraine (OR = 2.49; 95% CI = [2.37, 2.61]), asthma (OR = 2.19; 95% CI = [2.16, 2.22]), atopic dermatitis (OR = 2.10; 95% CI = [2.16, 2.23]), juvenile arthritis (OR = 1.56; 95% CI = [1.39, 1.76]), glaucoma (OR = 1.51; 95% CI = [1.30, 1.75]), and type 1 diabetes (OR = 1.30; 95% CI = [1.20, 1.40]) were more likely to be diagnosed in ADHD children.
Conclusion
Along with psychiatric diseases, various somatic diseases were more common in ADHD children. The results have direct implications for patient care, including fine-grained diagnostics and personalized therapy.
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