Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Cerebral Blood Transit in Sickle Cell Anemia.

Journal of magnetic resonance imaging : JMRI·2026

Same author

Hematopoietic Stem Cell Transplant and Brain Volume Changes in Adults With Sickle Cell Disease.

Neurology·2026

Same author

Transcranial Doppler is associated with future ischemic events in moyamoya arteriopathy.

Pediatric research·2026

Same author

Identifying a High-Risk Hemorrhagic Phenotype in Children With Moyamoya Disease.

Neurology·2026

Same author

Sickle cell anemia and early stroke detection and prevention in Nigeria.

Frontiers in stroke·2026

Same author

Identifying strokes in Nigerian children with sickle cell disease as part of clinical trials: training curriculum for healthcare professionals in low-income settings.

Frontiers in stroke·2026

Same journal

Moving Forward Together: Physical Fitness Assessment among Children Living with Obesity: A Multi-Stakeholder Conference.

The Journal of pediatrics·2026

Same journal

Postoperative Intensive Care Unit Stay After Congenital Lung Malformation Resection: Not Always a Necessary Stop.

The Journal of pediatrics·2026

Same journal

Pediatric Neuroinflammatory and Neuropsychiatric Syndromes Associated with Dupilumab Treatment for Atopic Dermatitis.

The Journal of pediatrics·2026

Same journal

Parental Perspectives and Experiences with Genetic Testing and Surveillance for Cancer Predisposition in Healthy Young Children.

The Journal of pediatrics·2026

Same journal

Correlation of Oxygen Saturation Index with Oxygenation Index in Congenital Diaphragmatic Hernia: in A Secondary Analysis of a Randomized Clinical Trial.

The Journal of pediatrics·2026

Same journal

Don't Skip A Beat: Deliberate Practice and Mastery Learning of Pediatric Electrocardiograms.

The Journal of pediatrics·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Dec 26, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Pediatric Acute Stroke Protocol Implementation and Utilization Over 7 Years.

Jessica D Wharton¹, Megan M Barry², Chelsea A Lee¹

¹Division of Pediatric Neurology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.

The Journal of Pediatrics

|March 10, 2020

Summary

This summary is machine-generated.

This study shows that a pediatric acute stroke protocol improved over time, with increased use of the Pediatric National Institutes of Health Stroke Scale (PedNIHSS) and MRI. However, the frequency of confirmed strokes remained stable, highlighting the protocol

Keywords:

hemorrhage ischemic stroke pediatric stroke

More Related Videos

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Prehospital Thrombolysis: A Manual from Berlin

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Related Experiment Videos

Last Updated: Dec 26, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Prehospital Thrombolysis: A Manual from Berlin

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Area of Science:

Pediatric neurology
Emergency medicine
Quality improvement science

Background:

Pediatric acute stroke protocols are crucial for timely diagnosis and management.
Evaluating the long-term implementation and utilization of such protocols is essential for optimizing care.

Purpose of the Study:

To examine the implementation and utilization of a pediatric acute stroke protocol over a 7-year period.
To hypothesize improvements in protocol implementation and increased protocol use over time.

Main Methods:

Retrospective observational study of clinical and demographic data from 2011-2018.
Comparison of the initial 43 months of protocol use (period 1) with the subsequent 43 months (period 2).
Analysis of protocol activations, final diagnoses, neurological assessments (Pediatric National Institutes of Health Stroke Scale - PedNIHSS), and neuroimaging (MRI).

Main Results:

Protocol activation increased by 56% from period 1 to period 2.
Pediatric National Institutes of Health Stroke Scale documentation significantly increased from 42% to 82% (P < .001).
Use of MRI as the first neuroimaging study increased from 68% to 78% (P = .038), while stroke diagnosis frequency remained stable.

Conclusions:

Pediatric stroke protocol implementation improved, evidenced by increased PedNIHSS documentation and MRI utilization.
Despite increased protocol use, the frequency of confirmed strokes and other neurologic emergencies remained stable.
The consistent need for the protocol underscores its importance in managing pediatric stroke and emergencies.