Table 2. The risk of ADHDa among exposed participants compared to matched unexposed participants.
| Outcome | No. of ADHD /No. of accumulated PY × 10,000 (incidence rate/10,000 PY) | Absolute rate difference/10,000 PY (95% CI) | HR (95% CI)b | aHR (95% CI)b,c | aHR (95% CI)b,d | |
|---|---|---|---|---|---|---|
| Exposed group | Unexposed group | |||||
| ADHD | 1,994/46.8 (42.6) | 1,318/47.6 (27.7) | 14.88 (12.49–17.28) | 1.519 (1.416–1.628) | 1.490 (1.387–1.601) | 1.406 (1.302–1.519) |
ADHD = attention deficit hyperactive disorder, PY = person-years, HR = hazard ratio, CI = confidence interval, aHR = adjusted hazard ratio.
aADHD was defined as at least a principal diagnosis of 10th revision of the International Classification of Diseases code F90.X after 72 months of age.
bA Cox proportional hazards model was used to assess the relationship between general anesthesia and later development of ADHD. HRs and 95% CIs of ADHD in relation to previous general anesthesia exposure, using time after the index date as the underlying time scale, were calculated.
cAdjusted for sex, age at index date, calendar year of birth (2008 or 2009), birth residence (Seoul/metropolitan, city, or rural area), and economic status (low, middle, or high).
dAdjusted for sex, age at index date, calendar year of birth (2008 or 2009), birth weight, birth residence (Seoul/metropolitan, city, or rural area), economic status (low, middle, or high), and perinatal disease.