• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Pediatrics >Can the FAST and ROSIER adult stroke recognition tools be applied to confirmed childhood arterial ischemic stroke?
【24h】

Can the FAST and ROSIER adult stroke recognition tools be applied to confirmed childhood arterial ischemic stroke?

机译：FAST和ROSIER成人中风识别工具是否可以用于已确认的儿童动脉缺血性中风？

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Stroke recognition tools have been shown to improve diagnostic accuracy in adults. Development of a similar tool in children is needed to reduce lag time to diagnosis. A critical first step is to determine whether adult stoke scales can be applied in childhood stroke. Our objective was to assess the applicability of adult stroke scales in childhood arterial ischemic stroke (AIS) Methods Children aged 1 month to Results 47 children with AIS were identified. 34 had anterior, 12 had posterior and 1 child had anterior and posterior circulation infarcts. Median age was 9 years and 51% were male. Median time from symptom onset to ED presentation was 21 hours but one third of children presented within 6 hours. The most common presenting stroke symptoms were arm (63%), face (62%), leg weakness (57%), speech disturbance (46%) and headache (46%). The most common signs were arm (61%), face (70%) or leg weakness (57%) and dysarthria (34%). 36 (78%) of children had at least one positive variable on FAST and 38 (81%) had a positive score of ≥1 on the ROSIER scale. Positive scores were less likely in children with posterior circulation stroke. Conclusion The presenting features of pediatric stroke appear similar to adult strokes. Two adult stroke recognition tools have fair to good sensitivity in radiologically confirmed childhood AIS but require further development and modification. Specificity of the tools also needs to be determined in a prospective cohort of children with stroke and non-stroke brain attacks.
机译：背景卒中识别工具已显示可提高成人的诊断准确性。需要开发用于儿童的类似工具以减少诊断的滞后时间。关键的第一步是确定成人卒中量表是否可用于儿童卒中。我们的目的是评估成人卒中量表在儿童动脉缺血性卒中（AIS）中的适用性。方法1个月至结果的儿童被确定为47例AIS儿童。前部梗死34例，后部梗死12例，前循环梗死1例。中位年龄为9岁，男性占51％。从症状发作到ED表现的中位时间为21小时，但三分之一的儿童在6小时内表现出来。目前最常见的中风症状是手臂（63％），面部（62％），腿部无力（57％），语言障碍（46％）和头痛（46％）。最常见的体征是手臂（61％），面部（70％）或腿部无力（57％）和构音障碍（34％）。 36名（78％）儿童的FAST得分至少为一个正变量，而38名（81％）的ROSIER得分为≥1。后循环卒中患儿阳性评分的可能性较小。结论小儿卒中的表现特征与成人中风相似。两种成人中风识别工具在放射学证实的儿童AIS中具有相当好的灵敏度，但需要进一步的开发和修改。还需要在有中风和非中风脑发作的儿童的预期队列中确定工具的特异性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号