deVeber et al evaluated pediatric patients who survived sinovenous thrombosis or arterial ischemic stroke. They identified factors impacting outcome for these patients. The authors are from the Hospital for Sick Children in Toronto, the Children's Hospital at Chedoke-McMaster and the Hamilton Civic Hospital's Research Center in Canada.
Patient selection: ischemic stroke or sinovenous thrombosis in patients from newborn to 18 years of age
Poor outcome was defined as a moderate or severe neurologic deficit (by the Pediatric Stroke Outcome Measure, or PSOM).
Factors associated with a poor outcome:
(1) male gender (1.8 fold)
(2) arterial ischemic stroke (4.8 fold)
(3) need for rehabilitation therapy (5.2 fold)
(4) associated neurologic disorder (3.2 fold)
where:
• Associated neurologic disorders included meningitis, hypoxic-ischemic injury, status epilepticus and/or head trauma with loss of consciousness (LOC).
The risk of having a poor outcome increases with the number of risk factors present.
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