Evaluation of risk factors, functionalities, and quality of life in patients with pediatric acute arterial ischemic stroke.

Autor:	Akif-Özdemir FM; Department of Pediatric Neurology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Öztoprak Ü; Department of Pediatric Neurology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Fettah A; Department of Pediatric Hematology-Oncology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Örün UA; Department of Pediatric Cardiology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Kılıç M; Department of Pediatric Metabolism, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Sarıkaya FG; Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara., Derinkuyu B; Department of Pediatric Radiology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Türkiye., Yüksel D; Department of Pediatric Neurology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara.
Jazyk:	angličtina
Zdroj:	The Turkish journal of pediatrics [Turk J Pediatr] 2023; Vol. 65 (2), pp. 309-320.
DOI:	10.24953/turkjped.2022.350
Abstrakt:	Background: This study aimed to evaluate the etiology and prognosis of patients followed up for pediatric acute arterial ischemic stroke. Methods: The clinical characteristics and etiology of patients aged 1 month-18 years who had acute arterial ischemic stroke between January 2010 and December 2020 were retrospectively evaluated. At last follow-up, the patients` functionality (Barthel Index, Functional Independence Measure), quality of life (SF-36 questionnaire), and motor outcomes (Gross Motor Function Classification System) were recorded prospectively/crosssectionally. Results: Forty children (25 boys) with a median current age of 112.5 months (range: 3.6-294) were included in the study. The most frequent etiology was prothrombotic disorders, and the most important factor associated with long-term mortality was valvular heart disease. Of the 27 (67.5%) surviving patients, 29.6% had positive motor outcomes and 29.6% were independent according to the Barthel Index. In terms of quality of life, SF-36 scores were highest in the pain scale and lowest in emotional role difficulty. Conclusions: Determining the etiology and evaluating prognosis are important to plan effective treatment and rehabilitation for pediatric acute arterial ischemic stroke.
Databáze:	MEDLINE
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