Data_Sheet_2_Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community.PDF

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.

研究目标：儿童急性卒中是一类需要一线医疗人员高度警惕的急症。本调查旨在评估德国儿科医师对儿童卒中的认知程度、关注意愿及知识储备水平。
研究方法：本研究通过电子邮件邀请德国巴伐利亚州1697名儿科门急诊医疗机构医师参与一项关于儿童卒中的在线调查。
研究结果：本次调查总参与率为14%。46%的受访者在过去一年内至少有过1次考虑儿童卒中诊断的经历，47%的医师曾接诊过儿童卒中患者。仅27%的问卷正确提及了FAST（Face-Arm-Speech-Time-Test，面-臂-语-时测试）这一缩写。最常被提及的儿童卒中症状包括偏瘫（90%）、言语障碍（58%）、癫痫发作（44%）、头痛（40%）及意识障碍（33%）。最常被列为卒中模拟病的是偏头痛（63%）、癫痫发作（39%）及颅内感染（31%）。主要推荐的诊断手段为磁共振成像（MRI）（96%）与计算机断层扫描（CT）（55%）。主要治疗策略包括溶栓治疗（80%）、抗凝治疗（41%）、神经保护措施及血栓切除术（两者占比均为15%）。39%的受访者曾参加过相关培训课程，61%通过查阅文献学习相关知识，37%与同行进行过相关讨论，25%曾通过互联网检索儿童卒中相关信息。93%的受访者认可技能提升培训，其中偏好培训课程（80%）、专业出版物（43%）及网络学习资源（35%）。49%的受访者同意在医疗机构内向照护者发放该主题的宣传折页。
研究结论：儿童卒中是儿科临床中具有重要意义的议题。受访者对该主题已具备一定的认知水平，但仍存在较大的提升空间。涵盖系统化培训课程、专业期刊定期教育专栏及网络学习资源的多模式教育方案，可覆盖广泛的医疗服务从业者。若结合面向公众的成人与儿童卒中认知宣传活动，此类举措将有助于优化儿童卒中患者的诊疗照护质量。