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EVALUATION OF THE RISK FACTORS, FUNCTIONALITIES, LIFE QUALITIES OF THE PATIENTS WITH THE DIAGNOSIS OF PEDIATRIC ACUTE ARTERIAL ISCHEMIC STROKE

Objectives: To evaluate etiology, prognosis of patients who were followed up with diagnosis of childhood acute arterial-ischemic stroke. Methods: Clinical features, etiology of patients with acute arterial-ischemic stroke between 2010-2020, aged 1 month-18 years were retrospectively evaluated. At the last control, functionality (Barthel1, WeeFIM2 scores), quality of life (SF36 scale3), motor results (gross motor function classification system) of the patients were recorded prospectively/cross-sectionally. Results: Forty children were included in the study (25 of whom male), current age was median 112.5 (3.6-294) months and the most common etiologic factor was prothrombotic state (Table-1). Of the 27 surviving patients, 29.62% had positive motor results. 29.62% of surviving patients were independent according to Barthel scoring (Table-2). In terms of quality of life, SF36 scores were found to be highest in pain and lowest in emotional role difficulty (Table-2). The most important factor affecting long-term mortality is the presence of valvular heart disease (Table-3, Table-4). Conclusions: İt is important to know the etiology, to evaluate the prognosis in order to plan effective treatment and rehabilitation.

References: 1) Wade DT et al. The Barthel ADL Index: a standard measure of physical disability? Int. Disabil. Studies. 1988;10, 64-7 2) Msall ME et al. WeeFIM. Normative sample of an instrument for tracking functional independence in children. Clinical Pediatrics 1994;33 (7):431–8 3) Jr JEW et al. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83
Keywords: pediatrics, acute arterial ischemic stroke, etiology, risk factors, prognosis