Understanding the Demographic Predictors and Associated Comorbidities in Children Hospitalized with Conduct Disorder

Patel, Rikinkumar S.; Amaravadi, Neelima; Bhullar, Harkeerat; Lekireddy, Jay; Win, Honey

doi:10.3390/bs8090080

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Understanding the Demographic Predictors and Associated Comorbidities in Children Hospitalized with Conduct Disorder

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Department of Psychiatry, Griffin Memorial Hospital, 900 E Main St, Norman, OK 73071, USA

Department of Pediatrics, Oakleaf Eau Claire Medical Clinic, 3802 Oakwood Mall Dr, Eau Claire, WI 54701, USA

Department of Pediatrics, Windsor University School of Medicine, Brighton’s Estate, Cayon, St. Kitts P.O. Box 1621, Saint Kitts and Nevis

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Saint Barnabas Hospital, 4422 Third Ave, Bronx, NY 10457, USA

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Department of Psychiatry, Icahn School of Medicine at Mount Sinai/Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY 11373, USA

Author to whom correspondence should be addressed.

Behav. Sci. 2018, 8(9), 80; https://doi.org/10.3390/bs8090080

Received: 17 August 2018 / Revised: 1 September 2018 / Accepted: 3 September 2018 / Published: 4 September 2018

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Abstract

Objective: To determine the demographic predictors and comorbidities in hospitalized children with conduct disorder. Methods: A retrospective analysis was performed using the Nationwide Inpatient Sample (2012–2014). All patients were ≤18 years old and cases with a primary diagnosis of conduct disorder (n = 32,345), and a comparison group with another psychiatric diagnosis (n = 410,479) were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)diagnosis codes. A logistic regression model was used to generate the odds ratio (OR) between both groups. Results: Children < 11 years old have a five times greater chance of admission for conduct disorder than adolescents (OR = 5.339). African American males are more likely to be admitted for conduct disorder. Children with conduct disorder from low-income families have a 1.5 times higher likelihood of inpatient admission compared to high-income families. These children have an about eleven times higher odds of comorbid psychosis (OR = 11.810) and seven times higher odds of depression (OR = 7.093) compared to the comparison group. Conclusion: Conduct disorders are more debilitating for children and families than many providers realize. African American males under 11 years are at the highest risk of inpatient management for conduct disorder. These patients have a higher risk of comorbid psychosis and depression, which may further deteriorate the severity of illness and require acute inpatient care. View Full-Text

Keywords: conduct disorder; comorbidities; schizophrenia; demographics; child; behavior; child psychiatry

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MDPI and ACS Style

Patel, R.S.; Amaravadi, N.; Bhullar, H.; Lekireddy, J.; Win, H. Understanding the Demographic Predictors and Associated Comorbidities in Children Hospitalized with Conduct Disorder. Behav. Sci. 2018, 8, 80. https://doi.org/10.3390/bs8090080

AMA Style

Patel RS, Amaravadi N, Bhullar H, Lekireddy J, Win H. Understanding the Demographic Predictors and Associated Comorbidities in Children Hospitalized with Conduct Disorder. Behavioral Sciences. 2018; 8(9):80. https://doi.org/10.3390/bs8090080

Chicago/Turabian Style

Patel, Rikinkumar S., Neelima Amaravadi, Harkeerat Bhullar, Jay Lekireddy, and Honey Win. 2018. "Understanding the Demographic Predictors and Associated Comorbidities in Children Hospitalized with Conduct Disorder" Behavioral Sciences 8, no. 9: 80. https://doi.org/10.3390/bs8090080

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