Characteristics and functional outcomes of pediatric stroke survivors at a rehabilitation unit in Saudi Arabia

Ullah, Sami; Ayaz, Saeed Bin; Qureshi, Ahmad Zaheer; Tantawy, Sherif Samir; Flandez, Maria Fe

doi:10.1016/j.jocn.2020.10.014

Cited by 8 publications

(15 citation statements)

References 32 publications

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“…Stroke is a significant health problem that causes mortality and permanent disability worldwide ( Chen et al, 2020 ). It is known that cerebrovascular accident (CVA) and a neurologic disorder are originating from the blockage or rupture of cerebral blood vessels with ischemic or hemorrhagic etiologies ( AlHarfany et al, 2020 ; Ullah et al, 2020 ). Stroke or CVA leads to death and is the third leading cause of disability worldwide ( Williams et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

et al. 2023

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Introduction Stroke is a significant health problem and is considered one of the leading causes of mortality and permanent disability worldwide. Hypertension is a primary risk factor for stroke. Thus, hypertensive patients’ knowledge, attitudes, and practices (KAP) are essential in preventing stroke. Objective To examine hypertensive patients’ KAP towards stroke prevention among rural population in Saudi Arabia. Methods The study utilized a cross-sectional design. The data were collected using a convenience sampling technique from hypertensive patients in the northwestern rural areas of Riyadh Province. A self-administered questionnaire was adapted from the Stroke Recognition Questionnaire (SRQ) and utilized to assess KAP towards stroke prevention among rural hypertensive patients. The STrengthening of the Reporting of OBservational studies in Epidemiology (STROBE) checklist was used to report the study. Results A total of 196 hypertensive patients participated in the study. The total mean scores categorization into three quartiles showed that most respondents had poor levels of KAP towards stroke prevention. Weak positive correlations were found between KAP of patients. There were statistically significant differences between respondents’ attitudes and practices with their age, education, marital status, and occupational status. Discussion This study denoted poor levels of KAP towards stroke prevention among hypertensive patients living in rural areas. This study showed the importance of further considering rural population by which improving their health and quality of life. Extending health educational programs and behavior-changing strategies to rural areas is essential to increase hypertensive patients and general public awareness about their stroke prevention and other health-related concerns.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

et al. 2023

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“…A recent retrospective analysis showed in-hospital mortality of 2.6% in pediatric AIS cases, 25 and the Global Disease Burden Study 20 reported higher mortality among boys with AIS. Interestingly, a recently published study with the largest pediatric AIS cohort revealed that larger infarct volume and younger age at the time of stroke are associated with poorer outcomes.…”

Section: Discussionmentioning

confidence: 98%

“…A recent national study from Saudi Arabia showed that hemorrhagic stroke had better functional outcomes than AIS. 20 …”

Section: Discussionmentioning

confidence: 99%

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Pediatric Stroke from Bench to Bedside: A Single-Center Experience in Saudi Arabia

Al-Sharydah

Al-Arfaj

Al-Suhibani

et al. 2022

VHRM

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Purpose Stroke is a leading cause of severe long-term disability and death worldwide. This study aimed to determine the genetic background, causative factors, and diagnostic and outcome measures of pediatric stroke in an area endemic to sickle cell disease (SCD). Patients and Methods This retrospective review analyzed pediatric patients with acute stroke who were admitted to King Fahd Hospital of the University, Eastern Province, Saudi Arabia, between January and June 2019. We assessed 49 cases based on computed tomography (CT) and magnetic resonance imaging (MRI) findings. Patients with incomplete records or unavailable radiological images were excluded. Results A high likelihood of familial coexistence of stroke was detected in patients with affected siblings (33%). Among various central nervous system manifestations, motor weakness (28.6%) and headache (20.4%) were the most common symptoms/signs. Hypoxic-ischemic encephalopathy (HIE) (28.6%), SCD (22.5%), and moyamoya disease (14.3%) were the most prevalent underlying etiologies. CT without intravenous contrast was the most used initial imaging technique (92.5%). An arterial blockage was more prevalent (53.4%) than a venous infarct (46.6%) (p = 0.041), while arterial ischemic stroke was more prevalent (56.5%) than hemorrhagic stroke (43.5%). The middle cerebral artery (MCA) was most affected (63.5%), followed by the anterior cerebral artery (22.7%) and posterior cerebral artery (13.6%). Most patients were managed with medical treatment (86.1%). No mortalities occurred during the initial hospital stay. The mean length of hospital stay was 12 days. Conclusion HIE was the most prevalent etiology of pediatric stroke. Motor weakness and headache were the most common initial manifestations. Arterial ischemic stroke was more prevalent than venous or hemorrhagic stroke. Considering the rarity of pediatric stroke, future studies should be performed with a aborative effort nationally and internationally.

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“…Early rehabilitation trajectory following childhood stroke demonstrates some predictive effects on long-term outcomes 4,14 . Studies reporting functional outcomes in the acute inpatient rehabilitation setting in childhood stroke are limited but generally find inpatient rehabilitation improves stroke-related neurologic impairments in children and adolescents 14,15 . Additional studies that also examine functional outcomes with respect to stroke type, acute hospital course, and inpatient rehabilitation course may provide additional insights into variability across patients in response to inpatient rehabilitation and subsequent long-term functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

Functional trajectory following pediatric stroke: a cohort study of acute inpatient rehabilitation outcomes

Wu,

Godfrey,

Orme

et al. 2024

Preprint

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Background. Stroke in childhood is a significant cause of morbidity and mortality. Neurologic impairments due to childhood stroke are associated with long-term disability and decreased quality of life. However, there are limited studies examining functional outcomes of childhood stroke. The goal of this study was to characterize functional outcomes of children and adolescents admitted to acute inpatient rehabilitation following stroke. Methods. A retrospective cross-sectional study of 100 patients aged 0 to 21 years admitted to a pediatric acute inpatient rehabilitation program following new diagnosis of stroke in childhood. The primary outcome measures were Functional Independence Measure in Children (WeeFIM) score at admission and discharge. Secondary outcome measures included change in WeeFIM score and IRF Efficiency score. Results. The 56 male/43female/1 transgender patients were 10.4±6.1 years old with ischemic (n=53), hemorrhagic (n=41), and hemorrhagic converted ischemic (n=6) strokes. At admission, the group demonstrated moderate-to-severe functional impairments (WeeFIM total score=47.9±26.3 points). Inpatient rehabilitation length of stay was 34.1±28.6 days and at inpatient rehabilitation discharge, WeeFIM total score improved to 73.2±31.5 points, representing a group IRF Efficiency score of 1.42±1.5 points/day. Group effects were also found for medical management of agitation, stroke prophylaxis, and stimulant therapy. Conclusions. Acute inpatient rehabilitation demonstrates statistically and clinically significant functional improvements following pediatric stroke as measured on the WeeFIM scale. Additional studies are needed to examine group effects found from medical management in the inpatient rehabilitation setting.

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Characteristics and functional outcomes of pediatric stroke survivors at a rehabilitation unit in Saudi Arabia

Cited by 8 publications

References 32 publications

Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

Pediatric Stroke from Bench to Bedside: A Single-Center Experience in Saudi Arabia

Functional trajectory following pediatric stroke: a cohort study of acute inpatient rehabilitation outcomes

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