Pediatric Stroke Care in Colombia: An 11-Year Study
Author Information
Author(s): Valencia-Cifuentes Valeria, Llanos-Leyton Natalia, Gómez-Ayala Maria Camila, Ariza-Insignares Camila, Rivillas Julian Alejandro, Granados-Sánchez Ana María, Márquez Juan Camilo, Galvis-Blanco Laura, Cruz-Zamorano Santiago, Gómez-Castro Juan Fernando, Lasso Rubén Eduardo, Rámirez-Muñoz Luis Miguel, Castro-Varela Juan Manuel, Benavides-Llano Paula Andrea, Amaya Pablo
Primary Institution: Fundación Valle del Lili, Cali, Colombia
Hypothesis
This study aims to describe clinical variables and quality care indicators in pediatric stroke management at a high-complexity pediatric care center in Latin America.
Conclusion
Significant gaps exist in the epidemiology and quality indicators of pediatric stroke care compared to adult protocols.
Supporting Evidence
- 47% of strokes were hemorrhagic, and 39% were ischemic.
- 21% of patients died, with higher mortality in hemorrhagic strokes.
- 48% of patients had a favorable modified Rankin scale at discharge.
Takeaway
This study looked at kids who had strokes in a hospital in Colombia and found that many didn't get the right care quickly enough, which is important for helping them recover.
Methodology
Retrospective study of patients with stroke, aged 2–18 years from 2011 to 2021, analyzing clinical variables and outcomes.
Potential Biases
Potential coding errors and lack of standardized information in clinical records.
Limitations
The study is retrospective and conducted at a single center, limiting generalizability; data collection was not standardized, leading to potential data loss.
Participant Demographics
Median age of 11 years, 54% male, with 51% having no prior medical history.
Statistical Information
P-Value
<0.05
Confidence Interval
OR=23.57, CI 95%: 5.27–153.72
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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