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A web-based survey about pediatric stroke: Knowledge of pediatricians in Turkey
Çağatay Günay1, Gamze Sarıkaya Uzan1, Semra Hız Kurul1
1Department of Pediatric Neurology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey.
Insights
Turkish pediatricians show gaps in pediatric stroke knowledge, particularly in acute treatment. Pediatric neurologists demonstrated better understanding, but consensus on diagnostic and therapeutic approaches is needed to improve care.
Area of Science:
- Neurology
- Pediatrics
- Public Health
Background:
- Pediatric stroke necessitates high pediatrician awareness to reduce mortality and morbidity.
- Assessing current knowledge levels among Turkish pediatricians is crucial for targeted educational interventions.
Purpose of the Study:
- To evaluate the knowledge of Turkish pediatricians regarding pediatric stroke.
- Identify specific areas of strength and weakness in their understanding of pediatric stroke.
Main Methods:
- An online survey was distributed to pediatricians and pediatric residents via social networking platforms.
- The survey included multiple-choice questions covering pediatric stroke definition, etiology, symptoms, neuroimaging, and treatment.
Main Results:
- 70.6% of 474 participants had over 5 years of experience; 35% had never assessed pediatric stroke patients.
- 74.5% were unfamiliar with a stroke scale, with correct answer rates for definition, etiology, symptoms, and neuroimaging ranging from 45.1% to 58%.
- Acute treatment strategies had the lowest correct answer rate (23.6%); pediatric neurologists and experienced subspecialists showed higher accuracy.
Conclusions:
- Significant room for improvement exists in pediatric stroke knowledge among Turkish pediatricians.
- While pediatric neurologists performed better, enhancing their knowledge through consensus on diagnostic and therapeutic strategies is recommended.
Background:
Pediatric stroke requires a high level of awareness and knowledge among pediatricians to minimize mortality and morbidity. In this survey, we aimed to assess the knowledge of Turkish pediatricians about pediatric stroke.
Methods:
Pediatricians and pediatric residents were invited via social networking platforms to an online survey with multiple choices about definition, etiology, symptoms-signs, neuroimaging, and treatment modalities of pediatric stroke.
Results:
Of 474 participants enrolled, the majority (n = 355, 70.6%) had ≥5 years of experience in pediatrics. While thirty-five percent (n = 166) of the participants never assessed pediatric stroke patients, 74.5% (n = 353) were not familiar with a stroke scale. For items related to definition/etiology, symptoms/signs, neuroimaging modalities, and stroke scale, the median correct answer rates ranged from 45.1% to 58%. The lowest median rate of correct answers (23.6%) was for acute treatment strategies. Subgroup analysis revealed that pediatric neurologists and participants with ≥5 years of experience in a subspecialty had significantly higher correct answer rates in several items.
Conclusions:
Although correct answers were gathered in some areas, there is still abundant room for improvement. Stroke knowledge of pediatric neurologists seems to be better; however, this level of knowledge can be strengthened by well-established consensus regarding diagnostic and therapeutic approaches.
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