Pediatric Stroke in the United States and the Impact of Risk Factors

被引：55
|
作者：
Lo, Warren [1 ]
Stephens, Julie [2 ]
Fernandez, Soledad [2 ,3 ]
机构：
[1] Ohio State Univ, Dept Pediat & Neurol, Columbus, OH 43210 USA
[2] Ohio State Univ, Ctr Biostat, Columbus, OH 43210 USA
[3] Ohio State Univ, Res Inst Nationwide Childrens Hosp, Columbus, OH 43210 USA
来源：
JOURNAL OF CHILD NEUROLOGY | 2009年 / 24卷 / 02期
关键词：
stroke; risk factor; hemorrhagic; ischemic; gender; hospitalization; ARTERIAL ISCHEMIC-STROKE; CEREBRAL SINOVENOUS THROMBOSIS; SOCIOECONOMIC-STATUS; CEREBROVASCULAR-DISEASE; CLINICAL-FEATURES; IDENTIFYING CHILDREN; ICD-9; CODES; US CHILDREN; CHILDHOOD; ACCURACY;
D O I：
10.1177/0883073808322665
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
One approach to studying pediatric stroke is to analyze a national database that contains data on a significant number of children. We examined an administrative dataset of hospital discharges from the United States, Kids' Inpatient Database 2003 (KID2003), for ICD-9 codes associated with hemorrhagic or ischemic stroke in children aged > 30 days to 20 years. 3156 children were discharged with a diagnosis of ischemic stroke and 2022 with hemorrhagic stroke after statistical weighting. The odds for a male discharged with hemorrhagic stroke was 1.5 (CI: 1.35-1.68) and for ischemic stroke was 1.37 (CI: 1.24-1.51) compared with a female. The odds for males discharged with a stroke were greatest for ages 16 to 20 years and least for 4 years. This study confirms a male predominance for stroke. The odds for hospitalization with a stroke diagnosis are greatest in very young and older adolescent males. Hemorrhage is an important stroke subtype in children.
引用
收藏
页码：194 / 203
页数：10
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