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Outcome after ischaemic stroke in childhood

Outcome after ischaemic stroke in childhood
Outcome after ischaemic stroke in childhood
A parental questionnaire was used to investigate the outcome for children who had had ischaemic stroke, who were seen at Great Ormond Street Hospital, London between 1990 and 1996. The results of functional assessments carried out by a physiotherapist and an occupational therapist, and of quantitative evaluations carried out by a neuropsychologist were used for validation where possible. The relationship between clinical and radiological factors and outcome were examined. The children were aged between 3 months and 15 years at the time of stroke (median age 5 years) and the period of follow-up ranged from 3 months to 13 years (median duration 3 years). Of the 90 children for whom data were obtained, 13 (14%) had no residual impairments. Outcome was good in 37 children (40%) and poor in 53 (60%) (defined according to whether impairments interfered with daily life). Agreement, as measured by Cohen's kappa, was good or very good between the parents' responses and the qualitative measures provided by the medical professionals and the therapists, but only fair to moderate for the quantitative measures provided by the neuropsychologists. This may reflect different parental perceptions of the physical and cognitive aspects of outcome. Younger age at time of the stroke was the only significant predictor of adverse outcome.
0012-1622
455-461
Ganesan, V.
cbb62659-735f-42db-a8dc-167b8f7d2f7f
Hogan, A.
c4b65be6-1c85-4727-9b2c-1055af4f601c
Shack, N.
1e8c0c8d-e675-412d-86e0-ade4d9c26b63
Gordon, A.
ab693691-a3a7-4952-8e6f-45ea4d6e9e26
Isaacs, E.
c4bea184-8a7f-4a37-8dd5-f17cb805e462
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Ganesan, V.
cbb62659-735f-42db-a8dc-167b8f7d2f7f
Hogan, A.
c4b65be6-1c85-4727-9b2c-1055af4f601c
Shack, N.
1e8c0c8d-e675-412d-86e0-ade4d9c26b63
Gordon, A.
ab693691-a3a7-4952-8e6f-45ea4d6e9e26
Isaacs, E.
c4bea184-8a7f-4a37-8dd5-f17cb805e462
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58

Ganesan, V., Hogan, A., Shack, N., Gordon, A., Isaacs, E. and Kirkham, F.J. (2000) Outcome after ischaemic stroke in childhood. Developmental Medicine and Child Neurology., 42 (7), 455-461. (doi:10.1017/S0012162200000852).

Record type: Article

Abstract

A parental questionnaire was used to investigate the outcome for children who had had ischaemic stroke, who were seen at Great Ormond Street Hospital, London between 1990 and 1996. The results of functional assessments carried out by a physiotherapist and an occupational therapist, and of quantitative evaluations carried out by a neuropsychologist were used for validation where possible. The relationship between clinical and radiological factors and outcome were examined. The children were aged between 3 months and 15 years at the time of stroke (median age 5 years) and the period of follow-up ranged from 3 months to 13 years (median duration 3 years). Of the 90 children for whom data were obtained, 13 (14%) had no residual impairments. Outcome was good in 37 children (40%) and poor in 53 (60%) (defined according to whether impairments interfered with daily life). Agreement, as measured by Cohen's kappa, was good or very good between the parents' responses and the qualitative measures provided by the medical professionals and the therapists, but only fair to moderate for the quantitative measures provided by the neuropsychologists. This may reflect different parental perceptions of the physical and cognitive aspects of outcome. Younger age at time of the stroke was the only significant predictor of adverse outcome.

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Published date: 2000

Identifiers

Local EPrints ID: 40044
URI: http://eprints.soton.ac.uk/id/eprint/40044
ISSN: 0012-1622
PURE UUID: c058b29f-31bd-40bd-a058-627216d0435b
ORCID for F.J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 18 Jul 2006
Last modified: 12 Nov 2019 01:51

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