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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Özcan 2004.

Methods A cohort study comparing time domain heart rate variability in non‐ADHD controls and ADHD cases treated with methylphenidate for 12 weeks
Participants Number of participants screened: not stated
Number of participants included: 73
Number included as cases (ADHD): 42
Number included as controls (non‐ADHD): 31
ADHD group
Number of participants followed up: 42
Number of withdrawals: 0
Diagnosis of ADHD: DSM‐IV (subtype: not stated)
Age: mean 11.1 years old (range 6‐15)
Sex: 34 males, 8 females
IQ: above 70
Country: Turkey
Setting:
Ethnicity: not stated
Methylphenidate‐naïve: not stated
Comorbidity: not stated
Comedication: no
Sociodemographics: not stated
Inclusion criteria:
  1. ADHD based on DSM‐IV

  2. Age 6‐15 years old


Exclusion criteria:
  1. Psychotic disorder, autistic disorder, hearing and visual problems and mental retardation

Interventions Methylphenidate type: not stated
Mean methylphenidate dosage: 10 mg (2 x 5 mg)
Administration schedule: not stated
Duration of treatment: 12 weeks
Treatment compliance: not stated
Outcomes Non‐serious adverse events: heart rate variability
Notes Sample calculation: not stated
 Ethics approval: yes
 Funding/vested interests: not stated
 Authors' affiliations: no affiliations to pharmaceutical companies stated
Key conclusions of the study authors: methylphenidate decreased the time domain HRV parameters in ADHD group. Therefore, close cardiac follow‐up is necessary for the detection of side effects of methylphenidate especially in patients who are under risk for developing cardiac arrhythmias and in patients using methylphenidate together with drugs affecting central nervous system
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no
Supplemental information regarding IQ has not been possible to receive through personal email correspondence with the authors. Emails sent twice to several of the authors

ADD: attention deficit disorder; ADD‐H: attention deficit disorder with hyperactivity; ADHD: attention deficit hyperactivity disorder; AE: adverse event;bpm: beats per minute; CGI‐S: Clinical Global Impression‐Severity; CI: confidence interval; CK: cytokine; CNS: central nervous system; C‐SSRS: Columbia Suicide Severity Rating Scale; DBP: diastolic blood pressure; DSM‐III‐R: Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised; DSM‐IV: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; DSM‐IV‐TR: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; DSM‐5: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition;ECG: electrocardiogram; ED: emergency department; EEG: electroencephalogram; EF: ejection fraction; EKG: electrocardiogram; FDA: Food and Drug Administration; ER: extended release; HCL: hydrochloride; HRQoL: health‐related quality of life; ICD: International Classification of Diseases; IQ: intelligence quotient; IQR: interquartile range; IR: immediate release; IRR: interrater reliability;ITT: intention‐to‐treat; LLC: limited liability company; LOCF: last observation carried forward; LTFU: loss to follow‐up; MAOI: monoamine oxidase inhibitors; MedDRA: Medical Dictionary for Regulatory Activities; MPH: methylphenidate; MPT: methylphenidate trial; MRI: magnetic resonance imaging; MTA: Multimodal Treatment Study of Children With ADHD; MTS: methylphenidate transdermal system; NICE: National Institute for health and Care Excellence; NNTB: number needed to treat for an additional beneficial outcome; OCD: obsessive compulsive disorder; ODD: oppositional defiant disorder; OROS: osmotic Release Oral System; PDD: pervasive developmental disorder; PTS: placebo transdermal system; PTSD: post‐traumatic stress disorder; RCT: randomised controlled trial; SD: standard deviation; SERS: Side Effects Rating Scale; SBP: systolic blood pressure; SODAS: spheroidal oral drug absorption system; SSRI: selective serotonin reuptake inhibitors; WISC: Wechsler Intelligence Scale for Children.