OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN

Objective: To determine the outcome and prognostic factors of stroke in children presenting at Military Hospital Rawalpindi. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the department of Pediatrics, Military Hospital Rawalpindi, from Oct 2012 to...

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Autores principales:	Shahid Mahmud, Shahneela, Sajid Ali Shah
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	outcome pediatric stroke Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/67449fa95d7345f9aa51c7ce64fbcfa3
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spelling	oai:doaj.org-article:67449fa95d7345f9aa51c7ce64fbcfa32021-12-02T07:02:53ZOUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN0030-96482411-8842https://doaj.org/article/67449fa95d7345f9aa51c7ce64fbcfa32018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2314/2008https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the outcome and prognostic factors of stroke in children presenting at Military Hospital Rawalpindi. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the department of Pediatrics, Military Hospital Rawalpindi, from Oct 2012 to Mar 2014. Patients and Methods: Sixty consecutive children presenting with stroke were included in this study after taking written informed consent from the guardians/parents. A predesigned proforma was used to record patient’s demographic details along with the presenting complaints, type of stroke, underlying cause and outcome. Results: The mean age of the patients was 3.49 ± 3.29 (Mean ± SD) years. There were 35 (58.3%) male and 25 (41.7%) female children. Ischemic stroke was the most frequent and was observed in 37 (61.7%) patients followed by hemorrhagic (16.7%), sinovenous thrombosis (8.3%) and ischemia with hemorrhagic findings (6.7%). Mixed lesions and transient ischemic attacks were reported in 2 (3.3%) patient each. Mean length of hospital stay was 9 ± 6 (Mean ± SD) days. Sixteen (26.7%) children recovered completely while 41 (68.3%) children had some neurological deficit at discharge. Mild to moderate deficit was recorded in 21 (35.0%) children while 20 (33.3%) children had severe deficit. Three (5.0%) patients expired during hospital stay. Conclusion: Ischemic stroke was the most common cause of paediatric stroke. Important risk factors of peadiatric stroke included congenital heart diseases and intracranial infections. Poor prognostic factors included male gender, age less 5 years and congenital heart disease.Shahid MahmudShahneela Sajid Ali ShahArmy Medical College Rawalpindiarticleoutcomepediatric strokeMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1313-1317 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	outcome pediatric stroke Medicine R Medicine (General) R5-920
spellingShingle	outcome pediatric stroke Medicine R Medicine (General) R5-920 Shahid Mahmud Shahneela Sajid Ali Shah OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
description	Objective: To determine the outcome and prognostic factors of stroke in children presenting at Military Hospital Rawalpindi. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the department of Pediatrics, Military Hospital Rawalpindi, from Oct 2012 to Mar 2014. Patients and Methods: Sixty consecutive children presenting with stroke were included in this study after taking written informed consent from the guardians/parents. A predesigned proforma was used to record patient’s demographic details along with the presenting complaints, type of stroke, underlying cause and outcome. Results: The mean age of the patients was 3.49 ± 3.29 (Mean ± SD) years. There were 35 (58.3%) male and 25 (41.7%) female children. Ischemic stroke was the most frequent and was observed in 37 (61.7%) patients followed by hemorrhagic (16.7%), sinovenous thrombosis (8.3%) and ischemia with hemorrhagic findings (6.7%). Mixed lesions and transient ischemic attacks were reported in 2 (3.3%) patient each. Mean length of hospital stay was 9 ± 6 (Mean ± SD) days. Sixteen (26.7%) children recovered completely while 41 (68.3%) children had some neurological deficit at discharge. Mild to moderate deficit was recorded in 21 (35.0%) children while 20 (33.3%) children had severe deficit. Three (5.0%) patients expired during hospital stay. Conclusion: Ischemic stroke was the most common cause of paediatric stroke. Important risk factors of peadiatric stroke included congenital heart diseases and intracranial infections. Poor prognostic factors included male gender, age less 5 years and congenital heart disease.
format	article
author	Shahid Mahmud Shahneela Sajid Ali Shah
author_facet	Shahid Mahmud Shahneela Sajid Ali Shah
author_sort	Shahid Mahmud
title	OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
title_short	OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
title_full	OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
title_fullStr	OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
title_full_unstemmed	OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN
title_sort	outcome and prognostic factors of stroke in children presenting at an army hospital in pakistan
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/67449fa95d7345f9aa51c7ce64fbcfa3
work_keys_str_mv	AT shahidmahmud outcomeandprognosticfactorsofstrokeinchildrenpresentingatanarmyhospitalinpakistan AT shahneela outcomeandprognosticfactorsofstrokeinchildrenpresentingatanarmyhospitalinpakistan AT sajidalishah outcomeandprognosticfactorsofstrokeinchildrenpresentingatanarmyhospitalinpakistan
_version_	1718399636004143104

OUTCOME AND PROGNOSTIC FACTORS OF STROKE IN CHILDREN PRESENTING AT AN ARMY HOSPITAL IN PAKISTAN

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