ADHD as a Risk Factor for Infection With Covid-19

被引:59
作者
Merzon, Eugene [1 ,2 ]
Manor, Iris [3 ,4 ]
Rotem, Ann [5 ]
Schneider, Tzipporah [7 ]
Vinker, Shlomo [1 ,2 ]
Cohen, Avivit Golan [1 ,2 ]
Lauden, Ari [1 ]
Weizman, Abraham [3 ,6 ,8 ]
Green, Ilan [1 ,2 ]
机构
[1] Leumit HMO, Tel Aviv, Israel
[2] Tel Aviv Univ, Sackler Fac Med, Dept Family Med, Tel Aviv, Israel
[3] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
[4] Geha Mental Hlth Ctr, 1 Helsinki St,POB 102, IL-4910002 Petah Tiqwa, Israel
[5] Geha Mental Hlth Ctr, ADHD Clin, Petah Tiqwa, Israel
[6] Geha Mental Hlth Ctr, Res Unit, Petah Tiqwa, Israel
[7] Clalit Hlth Serv, Bnei Braq, Israel
[8] Felsenstein Med Res Ctr, Petah Tiqwa, Israel
关键词
ADHD; Covid-19; prevalence; stimulants;
D O I
10.1177/1087054720943271
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Background:ADHD limits the ability to comply with Covid-19 prevention recommendations. We hypothesized that ADHD constitutes a risk factor for Covid-19 infection and that pharmacotherapy may lower that risk.Methods:Study population included all subjects (N = 14,022) registered with Leumit Health Services between February 1st and April 30, 2020, who underwent at least one Covid-19 test. Data were collected from the electronic health records. Purchasing consecutively at least three ADHD-medication-prescriptions during past year was considered drug-treatment.Results:A total of 1,416 (10.1%) subjects (aged 2 months-103 years) were Covid-19-positive.They were significantly younger, and had higher rates of ADHD (adjOR 1.58 (95% CI 1.27-1.96,p < .001) than Covid-19-negative subjects. The risk for Covid-19-Positive was higher in untreated-ADHD subjects compared to non-ADHD subjects [crudeOR 1.61 (95% CI 1.36-1.89,p < .001)], while no higher risk was detected in treated ones [crudeOR 1.07 (95% CI 0.78-1.48,p = .65)].Conclusion:Untreated ADHD seems to constitute a risk factor for Covid-19 infection while drug-treatment ameliorates this effect.
引用
收藏
页码:1783 / 1790
页数:8
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