Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke)
ObjectiveThis study aims to describe clinical variables and quality care indicators in pediatric stroke management at a high-complexity pediatric care center in Latin America.MethodsRetrospective study of patients with stroke, aged 2–18 years from 2011 to 2021. The principal outcomes were the mRs an...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1456134/full |
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| author | Valeria Valencia-Cifuentes Valeria Valencia-Cifuentes Natalia Llanos-Leyton Maria Camila Gómez-Ayala Camila Ariza-Insignares Camila Ariza-Insignares Julian Alejandro Rivillas Julian Alejandro Rivillas Julian Alejandro Rivillas Ana María Granados-Sánchez Ana María Granados-Sánchez Juan Camilo Márquez Juan Camilo Márquez Laura Galvis-Blanco Laura Galvis-Blanco Laura Galvis-Blanco Santiago Cruz-Zamorano Santiago Cruz-Zamorano Santiago Cruz-Zamorano Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Rubén Eduardo Lasso Rubén Eduardo Lasso Rubén Eduardo Lasso Luis Miguel Rámirez-Muñoz Juan Manuel Castro-Varela Paula Andrea Benavides-Llano Paula Andrea Benavides-Llano Pablo Amaya Pablo Amaya |
| author_facet | Valeria Valencia-Cifuentes Valeria Valencia-Cifuentes Natalia Llanos-Leyton Maria Camila Gómez-Ayala Camila Ariza-Insignares Camila Ariza-Insignares Julian Alejandro Rivillas Julian Alejandro Rivillas Julian Alejandro Rivillas Ana María Granados-Sánchez Ana María Granados-Sánchez Juan Camilo Márquez Juan Camilo Márquez Laura Galvis-Blanco Laura Galvis-Blanco Laura Galvis-Blanco Santiago Cruz-Zamorano Santiago Cruz-Zamorano Santiago Cruz-Zamorano Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Rubén Eduardo Lasso Rubén Eduardo Lasso Rubén Eduardo Lasso Luis Miguel Rámirez-Muñoz Juan Manuel Castro-Varela Paula Andrea Benavides-Llano Paula Andrea Benavides-Llano Pablo Amaya Pablo Amaya |
| author_sort | Valeria Valencia-Cifuentes |
| collection | DOAJ |
| description | ObjectiveThis study aims to describe clinical variables and quality care indicators in pediatric stroke management at a high-complexity pediatric care center in Latin America.MethodsRetrospective study of patients with stroke, aged 2–18 years from 2011 to 2021. The principal outcomes were the mRs and mortality. Differences between groups were assessed using Fisher’s exact test and the Mann–Whitney U test. We used logistic regression to explore the association between characteristics reported as relevant in literature and mortality.ResultsOne hundred thirty six patients included, with a median age of 11 years, 54% were male. 47% were hemorrhagic strokes, followed by ischemic strokes at 39%. One-third of the cases presented in hospital. 51% of the patients had no prior medical history. The most common symptoms were altered consciousness, headache, and hemiparesis. The median door-to-image time was 123 min. The most frequent etiologies in ischemic stroke were arteriopathies and cardiac pathology, while vascular malformation and coagulopathies were predominant in hemorrhagic stroke. No patient received reperfusion therapy. At discharge, 48% of patients had a favorable mRs. The mortality rate was 21%. Patients with in-hospital stroke have approximately 7.37 times the odds of dying compared to those with out-of-hospital stroke. Patients with hemorrhagic stroke have approximately 7.46 times the odds of dying compared to those with ischemic stroke.ConclusionSignificant gaps exist in the epidemiology and quality indicators of pediatric stroke care compared to adult protocols. Implementing a “Pediatric code stroke” protocol and conducting prospective studies are crucial for improving pediatric stroke care and outcomes. |
| format | Article |
| id | doaj-art-101fdf656f684c6098008dbb171cd8aa |
| institution | OA Journals |
| issn | 1664-2295 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-101fdf656f684c6098008dbb171cd8aa2025-08-20T02:31:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-12-011510.3389/fneur.2024.14561341456134Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke)Valeria Valencia-Cifuentes0Valeria Valencia-Cifuentes1Natalia Llanos-Leyton2Maria Camila Gómez-Ayala3Camila Ariza-Insignares4Camila Ariza-Insignares5Julian Alejandro Rivillas6Julian Alejandro Rivillas7Julian Alejandro Rivillas8Ana María Granados-Sánchez9Ana María Granados-Sánchez10Juan Camilo Márquez11Juan Camilo Márquez12Laura Galvis-Blanco13Laura Galvis-Blanco14Laura Galvis-Blanco15Santiago Cruz-Zamorano16Santiago Cruz-Zamorano17Santiago Cruz-Zamorano18Juan Fernando Gómez-Castro19Juan Fernando Gómez-Castro20Juan Fernando Gómez-Castro21Rubén Eduardo Lasso22Rubén Eduardo Lasso23Rubén Eduardo Lasso24Luis Miguel Rámirez-Muñoz25Juan Manuel Castro-Varela26Paula Andrea Benavides-Llano27Paula Andrea Benavides-Llano28Pablo Amaya29Pablo Amaya30Servicio de Neurología, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, ColombiaCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaServicio de Neurología, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaDepartamento de Salud Pública y Medicina Comunitaria, Universidad Icesi, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Radiología, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Radiología, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaServicio de Emergencias Pediátricas, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaServicio de Neurología Pediátrica, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaServicio de Neurología Pediátrica, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaUnidad de Cuidados Intensivos Pediátricos, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaServicio de Medicina Materno-Infantil, Fundación Valle del Lili, Cali, ColombiaServicio de Neurología, Fundación Valle del Lili, Cali, ColombiaDepartamento de Ciencias Clínicas, Universidad Icesi, Cali, ColombiaObjectiveThis study aims to describe clinical variables and quality care indicators in pediatric stroke management at a high-complexity pediatric care center in Latin America.MethodsRetrospective study of patients with stroke, aged 2–18 years from 2011 to 2021. The principal outcomes were the mRs and mortality. Differences between groups were assessed using Fisher’s exact test and the Mann–Whitney U test. We used logistic regression to explore the association between characteristics reported as relevant in literature and mortality.ResultsOne hundred thirty six patients included, with a median age of 11 years, 54% were male. 47% were hemorrhagic strokes, followed by ischemic strokes at 39%. One-third of the cases presented in hospital. 51% of the patients had no prior medical history. The most common symptoms were altered consciousness, headache, and hemiparesis. The median door-to-image time was 123 min. The most frequent etiologies in ischemic stroke were arteriopathies and cardiac pathology, while vascular malformation and coagulopathies were predominant in hemorrhagic stroke. No patient received reperfusion therapy. At discharge, 48% of patients had a favorable mRs. The mortality rate was 21%. Patients with in-hospital stroke have approximately 7.37 times the odds of dying compared to those with out-of-hospital stroke. Patients with hemorrhagic stroke have approximately 7.46 times the odds of dying compared to those with ischemic stroke.ConclusionSignificant gaps exist in the epidemiology and quality indicators of pediatric stroke care compared to adult protocols. Implementing a “Pediatric code stroke” protocol and conducting prospective studies are crucial for improving pediatric stroke care and outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2024.1456134/fullstrokepediatricscerebral ischemiacerebral hemorrhagemortalityquality indicators |
| spellingShingle | Valeria Valencia-Cifuentes Valeria Valencia-Cifuentes Natalia Llanos-Leyton Maria Camila Gómez-Ayala Camila Ariza-Insignares Camila Ariza-Insignares Julian Alejandro Rivillas Julian Alejandro Rivillas Julian Alejandro Rivillas Ana María Granados-Sánchez Ana María Granados-Sánchez Juan Camilo Márquez Juan Camilo Márquez Laura Galvis-Blanco Laura Galvis-Blanco Laura Galvis-Blanco Santiago Cruz-Zamorano Santiago Cruz-Zamorano Santiago Cruz-Zamorano Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Juan Fernando Gómez-Castro Rubén Eduardo Lasso Rubén Eduardo Lasso Rubén Eduardo Lasso Luis Miguel Rámirez-Muñoz Juan Manuel Castro-Varela Paula Andrea Benavides-Llano Paula Andrea Benavides-Llano Pablo Amaya Pablo Amaya Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) Frontiers in Neurology stroke pediatrics cerebral ischemia cerebral hemorrhage mortality quality indicators |
| title | Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) |
| title_full | Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) |
| title_fullStr | Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) |
| title_full_unstemmed | Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) |
| title_short | Clinical characteristics and quality care indicators of pediatric stroke in a referral center of Colombia: eleven-year experience (pediastroke) |
| title_sort | clinical characteristics and quality care indicators of pediatric stroke in a referral center of colombia eleven year experience pediastroke |
| topic | stroke pediatrics cerebral ischemia cerebral hemorrhage mortality quality indicators |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1456134/full |
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