Predictors of quality of life in pediatric survivors of arterial ischemic stroke and cerebral sinovenous thrombosis
- PMID: 21836124
- DOI: 10.1177/0883073811408609
Predictors of quality of life in pediatric survivors of arterial ischemic stroke and cerebral sinovenous thrombosis
Abstract
Predictors of quality of life can define potentially modifiable factors to increase favorable outcomes after pediatric stroke. Quality of life was measured using the Centre for Health Promotion's Quality of Life Profile (CHP-QOL) in 112 children surviving arterial ischemic stroke or cerebral sinovenous thrombosis at mean 3 years after stroke. Overall quality of life was poor in 17.8% children despite mean scores (3.52) in the "adequate" range. Quality of life related to school and play was most problematic and that related to physical and home environment was least problematic. Female gender, cerebral sinovenous thrombosis stroke, and older age at testing predicted reduced overall and domain-specific quality of life (P < .05), whereas neurological outcome and family socioeconomic status did not. Cognitive/behavioral deficit and low Verbal IQ adversely affected socialization and quality of life, especially among older children and females. Altered cognition/behavior has a major impact on quality of life after pediatric stroke. Implementation of ameliorative strategies warrants further study.
Similar articles
-
Frequency, predictors, and neurologic outcomes of vaso-occlusive strokes associated with cardiac surgery in children.Pediatrics. 2008 Dec;122(6):1292-8. doi: 10.1542/peds.2007-1459. Pediatrics. 2008. PMID: 19047248
-
Risk factors for pediatric stroke: consequences for therapy and quality of life.Pediatr Neurol. 2007 Aug;37(2):121-6. doi: 10.1016/j.pediatrneurol.2007.04.005. Pediatr Neurol. 2007. PMID: 17675027
-
Health-related quality of life and its relationship to neurological outcome in child survivors of stroke.CNS Spectr. 2004 Jun;9(6):465-75. doi: 10.1017/s1092852900009500. CNS Spectr. 2004. PMID: 15162094
-
Outcomes of perinatal arterial ischemic stroke and cerebral sinovenous thrombosis.Semin Fetal Neonatal Med. 2009 Oct;14(5):318-22. doi: 10.1016/j.siny.2009.07.003. Epub 2009 Aug 3. Semin Fetal Neonatal Med. 2009. PMID: 19647504 Review.
-
Paediatric stroke: pressing issues and promising directions.Lancet Neurol. 2015 Jan;14(1):92-102. doi: 10.1016/S1474-4422(14)70227-3. Lancet Neurol. 2015. PMID: 25496900 Review.
Cited by
-
Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study.Arq Neuropsiquiatr. 2022 Jan;80(1):13-22. doi: 10.1590/0004-282X-ANP-2021-0019. Arq Neuropsiquiatr. 2022. PMID: 35043927 Free PMC article.
-
[Clinical and imaging features of cerebral infarction in children].Zhongguo Dang Dai Er Ke Za Zhi. 2019 Apr;21(4):354-358. doi: 10.7499/j.issn.1008-8830.2019.04.010. Zhongguo Dang Dai Er Ke Za Zhi. 2019. PMID: 31014428 Free PMC article. Chinese.
-
Predicting symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage with an artificial neural network in a pediatric population.Childs Nerv Syst. 2017 Dec;33(12):2153-2157. doi: 10.1007/s00381-017-3573-0. Epub 2017 Aug 29. Childs Nerv Syst. 2017. PMID: 28852853
-
TropicALL study: Thromboprophylaxis in Children treated for Acute Lymphoblastic Leukemia with Low-molecular-weight heparin: a multicenter randomized controlled trial.BMC Pediatr. 2017 May 10;17(1):122. doi: 10.1186/s12887-017-0877-x. BMC Pediatr. 2017. PMID: 28486976 Free PMC article. Clinical Trial.
-
Educational Placement After Pediatric Intracerebral Hemorrhage.Pediatr Neurol. 2016 Aug;61:46-50. doi: 10.1016/j.pediatrneurol.2016.05.004. Epub 2016 May 10. Pediatr Neurol. 2016. PMID: 27262667 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
