Stroke in children: experience of the Center for the Treatment of Cerebrovascular Diseases in Children and Adolescents in Moscow

Shchederkina, I.O.; Livshits, M.I.; Kessel, A.E.; Plavunov, N.F.; Kuznetsova, A.A.; Khachaturov, Y.A.; Vitkovskaya, I.P.; Khasanova, K.A.; Lim, R.T.; Sidorov, A.M.; Tenovskaya, T.A.; Asalkhanova, S.B.; Gorev, V.V.

doi:10.17116/jnevro202312308222

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…В больнице созданы 10 городских центров специализированной медицинской помощи для детей и подростков: детской трансфузиологии; амбулаторной онкологической помощи; центр по лечению цереброваскулярной патологии у детей и подростков (центр детского инсульта); референc-центр врожденных наследственных заболеваний, генетических отклонений, орфанных и других редких заболеваний; детской ревматологии; детской гематологии и онкологии; репродуктивного здоровья детей и подростков; детской эндокринологии; детской гастроэнтерологии; неонатального скрининга. Центры детского инсульта и орфанных заболеваний не имеют аналогов в России [1,15,61,62]…”

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120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

Gorev,

Ovsyannikov,

Angel

et al. 2024

APPS

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The article covers in detail the history of the creation and construction of the Morozov Children’s City Clinical Hospital of the Moscow Department of Health. The development of medical care for children is described, from the organization of outpatient care and infectious diseases departments in the first half of the 20th century to highly specialized medical care in the 21st century. The main results of clinical, scientific and educational activities, achievements of scientific pediatric schools, and the contribution of researchers working at the Morozov Hospital to various fields of pediatrics and pediatric surgery are presented.

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120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

Gorev,

Ovsyannikov,

Angel

et al. 2024

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Design and Interrater Reliability of the Pediatric Version of the Race Scale: PedRACE

Turón-Viñas,

Boronat,

Gich

et al. 2024

Stroke

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BACKGROUND: Acute ischemic stroke is a leading cause of pediatric death and disability. A clinical scale adapted for children can ensure early detection of candidates for urgent acute ischemic stroke treatment. The Rapid Arterial Occlusion Evaluation (RACE) scale for adults, which scores 5 items (facial palsy 0–2; arm motor function 0–2; leg motor function 0–2; head/gaze deviation 0–1; and aphasia or agnosia 0–2), has good sensitivity and specificity in detecting large vessel occlusion. METHODS: We adapted the previously validated RACE scale for use in children as the Pediatric RACE scale. This adapted scale was tested by prehospital/emergency room staff attending to patients covered by the Catalan Pediatric Stroke Code and child neurologists for its correlation with the Pediatric National Institutes of Health Stroke Scale and for interrater reliability. RESULTS: The study included 50 children, 18 with confirmed strokes (7 acute ischemic strokes and 11 hemorrhagic strokes). Prehospital/emergency staff and child neurologists agreed fully regarding 82% of patients and 100% regarding head/gaze deviation and agnosia. The Pediatric RACE scale correlated strongly with the Pediatric National Institutes of Health Stroke Scale in evaluations by child neurologists (Spearman ρ, 0.852; P <0.001) and prehospital/emergency staff (Spearman ρ, 0.781; P <0.001). The median Pediatric RACE score was significantly higher in patients with large vessel occlusion (6.5; interquartile range, 6–7) than with other etiologies. CONCLUSIONS: Pediatric RACE, showing good interrater reliability and correlation with the Pediatric National Institutes of Health Stroke Scale, is a simple scale to detect candidates for pediatric acute stroke treatment, designed for both prehospital and in-hospital use by non-neurologist medical staff.

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Prevalence and structure of calls from the Moscow emergency medical team to children with stroke

Khachaturov,

Plavunov,

Sidorov

et al. 2024

Skor. med. pomoŝʹ

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In recent years, the number of diagnosed cases of stroke in children and adolescents has significantly increased. Purpose: to study the prevalence and structure of calls from emergency medical teams (EMS) to children and adolescents with a preliminary diagnosis of stroke, taking into account age, gender and seasonality in Moscow. Objectives: to analyse calls from emergency medical services teams in Moscow to children and adolescents, to study the prevalence of childhood stroke. To establish the structure of childhood strokes and the most common types of stroke. To track the dynamics of average monthly indicators of EMS calls to pediatric patients with a preliminary diagnosis of stroke and to clarify the patterns specific to the prevalence of calls to EMS teams during the year. Materials and methods: there was carried out an analysis of the prevalence and structure of calls from emergency medical teams to patients with a preliminary diagnosis of acute cerebrovascular accident among the child population of Moscow. The distribution of cases of acute cerebrovascular accident was analysed depending on the gender and age of the child, and types of stroke. Results of the study: Age, gender and seasonal characteristics, prevalence and structure of nosological forms and types of stroke were identified. It was found that stroke is more common in children aged 7 to 15 years — 1 453 cases (57%). In 73.5% of cases, the visiting medical staff of the EMS diagnosed a transient ischemic attack, in 19.3% — a stroke not specified as a cerebral hemorrhage or infarction, in 4.4% — a subarachnoid hemorrhage, in 1.7% — a hemorrhagic stroke, and in 1.1% — cerebral infarction. An increase in the number of calls is observed from September to April (77.8% of all calls from emergency medical services teams).

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Stroke in children: experience of the Center for the Treatment of Cerebrovascular Diseases in Children and Adolescents in Moscow

Cited by 4 publications

References 17 publications

120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

Design and Interrater Reliability of the Pediatric Version of the Race Scale: PedRACE

Prevalence and structure of calls from the Moscow emergency medical team to children with stroke

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