Original articlePediatric Stroke: Do Clinical Factors Predict Delays in Presentation?
Section snippets
Methods
We conducted a retrospective chart review of stroke in children age 1 month to 15 years. The upper age limit was chosen to compare our epidemiologic data with previous studies of childhood stroke.8, 9 All admissions between 1995 and 2000 to any of the hospitals that provide tertiary pediatric neurologic care in San Diego County were included. The county has an Emergency Medical Services (EMS) system that provides coverage throughout the region of interest. EMS initially may have transported
General Characteristics of the Sample
The general characteristics of our study population are given in Table I and the Figure (available at www.jpeds.com). After the exclusion criteria were applied, of 859 charts available for review, 125 met all of the study criteria. Of the 89 patients with nontraumatic stroke, 57% (51/89) had ischemic stroke and 28% (25/89) had hemorrhagic stroke. The remaining patients (8/89) had mixed stroke, in which whether the major component of the stroke was due to infarct or hemorrhage was unclear or had
Discussion
Our data indicate that age, clinical presentation, underlying risk factors, inciting events, or GOS were not associated with time to presentation in the children with AIS, although this population-based study may not have been sufficiently powered to draw these conclusions. Nevertheless, children with sickle cell disease were more likely to present earlier compared with those with CHD, who were less likely to present within 24 hours. This study examined clinical factors as they relate to delay
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Supported by Neurological Sciences Academic Development Award K12NS001696 (to A.H.). The opinions or assertions contained herein are those of the authors and are not to be construed as official or reflecting the views of the Department of the Navy, Department of Defense, or the United States Government. The authors declare no conflicts of interest.