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Epidemiology, risk factors and characteristics of pediatric stroke: a nationwide population-based study

K-L Chiang1,2,3, C-Y Cheng3,4

  • 1From the Department of Pediatrics, Kuang-Tien General Hospital, No. 117, Shatian Road Shalu District, Taichung City 43302.

QJM : Monthly Journal of the Association of Physicians
|April 13, 2018
PubMed

Insights

Pediatric stroke, a significant cause of childhood death and disability, is more common in infants, boys, and lower socioeconomic groups. Hemorrhagic stroke carries a higher mortality rate than ischemic stroke.

Area of Science:

  • Pediatric Neurology
  • Epidemiology
  • Public Health

Background:

  • Stroke is a leading cause of death and chronic morbidity in children.
  • Characterized as an acute acquired neurological deficit, pediatric stroke requires further epidemiological investigation.

Purpose of the Study:

  • To determine the period prevalence, incidence, and risk factors of pediatric stroke in Taiwan.
  • To analyze mortality rates and identify associated risk factors.

Main Methods:

  • Utilized the National Health Insurance Research Database for Taiwan inhabitants aged 1 month to 18 years (2010-2011).
  • Collected data on age, sex, location, and household income.
  • Evaluated incidence, period prevalence, mortality rates, and potential risk factors.

Main Results:

  • Hemorrhagic stroke exhibited a significantly higher mortality rate (27.6%) compared to ischemic stroke (10.2%).
  • Underlying diseases or risk factors were identified in 77.8% of pediatric stroke patients.
  • Common risk factors included vascular diseases (26.3%), infections (14.0%), and cardiac disorders (9.1%).

Conclusions:

  • Infants under 2 years, boys, and children from lower socioeconomic backgrounds face a higher risk of stroke.
  • Hemorrhagic stroke has a significantly higher mortality rate than ischemic stroke.
  • Over half of pediatric stroke cases had underlying conditions, with distinct causes for hemorrhagic versus ischemic stroke.
Abstract

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