Preparing for a "Pediatric Stroke Alert"

被引：34

作者：

Bernard, Timothy J. ^{[1
,2
]}

Friedman, Neil R. ^{[3
]}

Stence, Nicholas V. ^{[2
,4
]}

Jones, William ^{[5
]}

Ichord, Rebecca ^{[6
,7
]}

Amlie-Lefond, Catherine ^{[8
]}

Dowling, Michael M. ^{[9
]}

Rivkin, Michael J. ^{[10
,11
,12
,13
]}

机构：

[1] Univ Colorado, Sch Med, Hemophilia & Thrombosis Ctr, Aurora, CO USA

[2] Univ Colorado, Sch Med, Dept Pediat, Aurora, CO USA

[3] Cleveland Clin, Neurol Inst, Ctr Pediat Neurol, Cleveland, OH 44106 USA

[4] Univ Colorado, Sch Med, Dept Radiol, Aurora, CO USA

[5] Univ Colorado, Sch Med, Dept Neurol, Aurora, CO USA

[6] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Neurol, Philadelphia, PA 19104 USA

[7] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA

[8] Univ Washington, Seattle Childrens Hosp, Dept Neurol, Seattle, WA 98195 USA

[9] Univ Texas SW Med Ctr Dallas, Dept Pediat & Neurol, Div Pediat Neurol, Dallas, TX 75390 USA

[10] Boston Childrens Hosp, Dept Neurol, Boston, MA USA

[11] Boston Childrens Hosp, Dept Psychiat, Boston, MA USA

[12] Boston Childrens Hosp, Dept Radiol, Boston, MA USA

[13] Harvard Univ, Sch Med, Dept Neurol, Boston, MA 02115 USA

来源：

PEDIATRIC NEUROLOGY | 2016年 / 56卷

关键词：

arterial ischemic stroke; pediatric stroke centers; childhood stroke; TIPS trial; HEALTH-CARE PROFESSIONALS; ARTERIAL ISCHEMIC-STROKE; ENDOVASCULAR TREATMENT; CHILDHOOD STROKE; EARLY MANAGEMENT; CHILDREN; THROMBOLYSIS; ASSOCIATION; THROMBECTOMY; RECOGNITION;

D O I：

10.1016/j.pediatrneurol.2015.10.012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Childhood arterial ischemic stroke is an important cause of morbidity and mortality in children. Hyperacute treatment strategies remain controversial and challenging, especially in the setting of increasingly proven medical and endovascular options in adults. Although national and international pediatric guidelines have given initial direction about acute therapy and management, pediatric centers have traditionally lacked the infrastructure to triage, diagnose, and treat childhood arterial ischemic stroke quickly. METHODS: In the past 10 years, researchers in the International Pediatric Stroke Study and Thrombolysis in Pediatric Stroke study have initiated early strategies for establishing pediatric specific stroke alerts. RESULTS: We review the rationale, process and components necessary for establishing a pediatric stroke alert. CONCLUSION: Development of pediatric stroke protocols and pathways, with evidence-based acute management strategies and supportive care where possible, facilitates the evaluation, management, and treatment of an acute pediatric stroke.

引用

页码：18 / 24

页数：7

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