Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community
Objective: Acute childhood stroke is an emergency requiring a high level of awareness among first-line healthcare providers. This survey serves as an indicator of the awareness of, the interest in, and knowledge of childhood stroke of German pediatricians.Methods: Thousand six hundred and ninety-sev...
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Format: | Article |
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Frontiers Media S.A.
2018-06-01
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Series: | Frontiers in Pediatrics |
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Online Access: | https://www.frontiersin.org/article/10.3389/fped.2018.00182/full |
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doaj-9bcdc49df9604b959ccea29bf902ccbc |
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record_format |
Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Michaela V. Bonfert Katharina Badura Katharina Badura Julia Gerstl Julia Gerstl Ingo Borggraefe Florian Heinen Sebastian Schroeder Martin Olivieri Martin Olivieri Raphael Weinberger Mirjam N. Landgraf Katharina Vill Moritz Tacke Steffen Berweck Steffen Berweck Karl Reiter Florian Hoffmann Thomas Nicolai Lucia Gerstl |
spellingShingle |
Michaela V. Bonfert Katharina Badura Katharina Badura Julia Gerstl Julia Gerstl Ingo Borggraefe Florian Heinen Sebastian Schroeder Martin Olivieri Martin Olivieri Raphael Weinberger Mirjam N. Landgraf Katharina Vill Moritz Tacke Steffen Berweck Steffen Berweck Karl Reiter Florian Hoffmann Thomas Nicolai Lucia Gerstl Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community Frontiers in Pediatrics childhood stroke pediatric stroke awareness face-arm-speech-test stroke mimics stroke symptoms |
author_facet |
Michaela V. Bonfert Katharina Badura Katharina Badura Julia Gerstl Julia Gerstl Ingo Borggraefe Florian Heinen Sebastian Schroeder Martin Olivieri Martin Olivieri Raphael Weinberger Mirjam N. Landgraf Katharina Vill Moritz Tacke Steffen Berweck Steffen Berweck Karl Reiter Florian Hoffmann Thomas Nicolai Lucia Gerstl |
author_sort |
Michaela V. Bonfert |
title |
Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community |
title_short |
Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community |
title_full |
Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community |
title_fullStr |
Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community |
title_full_unstemmed |
Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community |
title_sort |
childhood stroke: awareness, interest, and knowledge among the pediatric community |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pediatrics |
issn |
2296-2360 |
publishDate |
2018-06-01 |
description |
Objective: Acute childhood stroke is an emergency requiring a high level of awareness among first-line healthcare providers. This survey serves as an indicator of the awareness of, the interest in, and knowledge of childhood stroke of German pediatricians.Methods: Thousand six hundred and ninety-seven physicians of pediatric in- and outpatient facilities in Bavaria, Germany, were invited via email to an online-survey about childhood stroke.Results: The overall participation rate was 14%. Forty-six percent of participants considered a diagnosis of childhood stroke at least once during the past year, and 47% provide care for patients who have suffered childhood stroke. The acronym FAST (Face-Arm-Speech-Time-Test) was correctly cited in 27% of the questionnaires. Most commonly quoted symptoms of childhood stroke were hemiparesis (90%), speech disorder (58%), seizure (44%), headache (40%), and impaired consciousness (33%). Migraine (63%), seizure (39%), and infections of the brain (31%) were most frequently named as stroke mimics. Main diagnostic measures indicated were magnetic resonance imaging (MRI) (96%) and computer tomography (CT) (55%). Main therapeutic strategies were thrombolysis (80%), anticoagulation (41%), neuroprotective measures, and thrombectomies (15% each). Thirty-nine percent of participants had taken part in training sessions, 61% studied literature, 37% discussed with colleagues, and 25% performed internet research on childhood stroke. Ninety-three percent of participants approve skill enhancement, favoring training sessions (80%), publications (43%), and web based offers (35%). Consent for offering a flyer on the topic to caregivers in facilities was given in 49%.Conclusion: Childhood stroke constitutes a topic of clinical importance to pediatricians. Participants demonstrate a considerable level of comprehension concerning the subject, but room for improvement remains. A multi-modal approach encompassing an elaborate training program, regular educational publications in professional journals, and web based offers could reach a broad range of health care providers. Paired with a public adult and childhood stroke awareness campaign, these efforts could contribute to optimize the care for children suffering from stroke. |
topic |
childhood stroke pediatric stroke awareness face-arm-speech-test stroke mimics stroke symptoms |
url |
https://www.frontiersin.org/article/10.3389/fped.2018.00182/full |
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doaj-9bcdc49df9604b959ccea29bf902ccbc2020-11-25T00:55:35ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-06-01610.3389/fped.2018.00182383739Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric CommunityMichaela V. Bonfert0Katharina Badura1Katharina Badura2Julia Gerstl3Julia Gerstl4Ingo Borggraefe5Florian Heinen6Sebastian Schroeder7Martin Olivieri8Martin Olivieri9Raphael Weinberger10Mirjam N. Landgraf11Katharina Vill12Moritz Tacke13Steffen Berweck14Steffen Berweck15Karl Reiter16Florian Hoffmann17Thomas Nicolai18Lucia Gerstl19Department of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanySchön Klinik Vogtareuth, Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Vogtareuth, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatrics, Facharztzentrum Hauzenberg, Hauzenberg, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Hemostaseology, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyPediatric Intensive Care Unit, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDivision of Epidemiology, Institute of Social Pediatrics and Adolescent Medicine, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanySchön Klinik Vogtareuth, Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Vogtareuth, GermanyPediatric Intensive Care Unit, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyPediatric Intensive Care Unit, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyPediatric Intensive Care Unit, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyDepartment of Pediatric Neurology and Developmental Medicine, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilians University of Munich, Munich, GermanyObjective: Acute childhood stroke is an emergency requiring a high level of awareness among first-line healthcare providers. This survey serves as an indicator of the awareness of, the interest in, and knowledge of childhood stroke of German pediatricians.Methods: Thousand six hundred and ninety-seven physicians of pediatric in- and outpatient facilities in Bavaria, Germany, were invited via email to an online-survey about childhood stroke.Results: The overall participation rate was 14%. Forty-six percent of participants considered a diagnosis of childhood stroke at least once during the past year, and 47% provide care for patients who have suffered childhood stroke. The acronym FAST (Face-Arm-Speech-Time-Test) was correctly cited in 27% of the questionnaires. Most commonly quoted symptoms of childhood stroke were hemiparesis (90%), speech disorder (58%), seizure (44%), headache (40%), and impaired consciousness (33%). Migraine (63%), seizure (39%), and infections of the brain (31%) were most frequently named as stroke mimics. Main diagnostic measures indicated were magnetic resonance imaging (MRI) (96%) and computer tomography (CT) (55%). Main therapeutic strategies were thrombolysis (80%), anticoagulation (41%), neuroprotective measures, and thrombectomies (15% each). Thirty-nine percent of participants had taken part in training sessions, 61% studied literature, 37% discussed with colleagues, and 25% performed internet research on childhood stroke. Ninety-three percent of participants approve skill enhancement, favoring training sessions (80%), publications (43%), and web based offers (35%). Consent for offering a flyer on the topic to caregivers in facilities was given in 49%.Conclusion: Childhood stroke constitutes a topic of clinical importance to pediatricians. Participants demonstrate a considerable level of comprehension concerning the subject, but room for improvement remains. A multi-modal approach encompassing an elaborate training program, regular educational publications in professional journals, and web based offers could reach a broad range of health care providers. Paired with a public adult and childhood stroke awareness campaign, these efforts could contribute to optimize the care for children suffering from stroke.https://www.frontiersin.org/article/10.3389/fped.2018.00182/fullchildhood strokepediatric strokeawarenessface-arm-speech-teststroke mimicsstroke symptoms |