Results: In all, 753 of 1150 (65%) suspected patients received a diagnosis of ADHD (M:F=6:1; median age 9yr; range: 5-17yr). In 24% of cases there was a family history of ADHD. A total of 483 (65%) patients had at least one psychopathological disorder, the most frequent of which were learning disorders (35%), sleep disturbances (14%), and oppositional defiant disorder (13%), while 69 (9%) had other chronic medical conditions, most of which were neurological diseases (n=28). In all, 85% of patients received a prescription for a psychological type of intervention, involving mostly parent training (428 patients, 82%), child training (308, 59%), and teacher training (173, 33%), while 2% received prescriptions for drugs alone, and 13% a combination of both. Of the 115 patients receiving drug therapy, 95 (83%) were treated with meihylphenidate (5-40 mg/day), 5 of whom in combination with other psychotropic drugs, 7% (n=8) with atomoxetine (10-75 mg/day), and the remaining 10% (n=12) with another drug especially risperidone. Compared to subjects treated with psychological interventions alone, patients with drug prescriptions more commonly presented values of CGI-S of 5 or higher (p<0.0001), lower cognitive levels (p=0.0019), and the presence of associated disorders, such as oppositional defiant disorder (p<0.0001) and sleep disturbances (p=0.0007).Conclusions: The registry represents an essential tool for continuous, systematic monitoring and has permitted the planning and appropriate use of resources based on actual needs, leading to significant, progressive improvements in clinical practice and ensuring an efficient and homogeneous quality of care.Aim: To evaluate the prevalence rate and the diagnostic and therapeutic pathways of care of ADHD patients in the Lombardy Region.Methods: Data on patients evaluated by the 18 ADHD Regional Reference Centres in the 2012-2013 period were analysed in order to describe the diagnostic and therapeutic characteristics of the sample
Reale, L., Zanetti, M., Cartabia, M., Fortinguerra, F., Bonati, M. (2014). Due anni di attività del Registro ADHD della Regione Lombardia: Analisi del percorsi di cura diagnostici e terapeutici. RICERCA & PRATICA, 30(5), 198-211.
Due anni di attività del Registro ADHD della Regione Lombardia: Analisi del percorsi di cura diagnostici e terapeutici
Reale, L
;Bonati, M
2014
Abstract
Results: In all, 753 of 1150 (65%) suspected patients received a diagnosis of ADHD (M:F=6:1; median age 9yr; range: 5-17yr). In 24% of cases there was a family history of ADHD. A total of 483 (65%) patients had at least one psychopathological disorder, the most frequent of which were learning disorders (35%), sleep disturbances (14%), and oppositional defiant disorder (13%), while 69 (9%) had other chronic medical conditions, most of which were neurological diseases (n=28). In all, 85% of patients received a prescription for a psychological type of intervention, involving mostly parent training (428 patients, 82%), child training (308, 59%), and teacher training (173, 33%), while 2% received prescriptions for drugs alone, and 13% a combination of both. Of the 115 patients receiving drug therapy, 95 (83%) were treated with meihylphenidate (5-40 mg/day), 5 of whom in combination with other psychotropic drugs, 7% (n=8) with atomoxetine (10-75 mg/day), and the remaining 10% (n=12) with another drug especially risperidone. Compared to subjects treated with psychological interventions alone, patients with drug prescriptions more commonly presented values of CGI-S of 5 or higher (p<0.0001), lower cognitive levels (p=0.0019), and the presence of associated disorders, such as oppositional defiant disorder (p<0.0001) and sleep disturbances (p=0.0007).Conclusions: The registry represents an essential tool for continuous, systematic monitoring and has permitted the planning and appropriate use of resources based on actual needs, leading to significant, progressive improvements in clinical practice and ensuring an efficient and homogeneous quality of care.Aim: To evaluate the prevalence rate and the diagnostic and therapeutic pathways of care of ADHD patients in the Lombardy Region.Methods: Data on patients evaluated by the 18 ADHD Regional Reference Centres in the 2012-2013 period were analysed in order to describe the diagnostic and therapeutic characteristics of the sample
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