儿科急性缺血性中风的患病率和危险因素:系统性审查和元分析协议
Ping Wang1, Shenglei Jiang2,3, Guolian Shen1
1Department of Pediatric, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, People's Republic of China.
BMJ open
|October 23, 2025
概括
这一系统性审查将调查儿科急性缺血性中风 (AIS) 的患病率和危险因素. 研究结果将为这种罕见但严重的儿童神经疾病的预防和管理策略提供信息.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 儿科急性缺血性中风 (AIS) 是一种罕见的,严重的神经疾病,具有显著的长期残疾和社会影响.
- 与成人相比,儿童的不同临床特征和病因使早期识别和预防复杂化.
- 对儿童的AIS患病率和风险因素的全面了解对于有效的临床策略至关重要.
研究的目的:
- 系统地审查有关儿科AIS患病率的现有文献.
- 识别和分析与儿科AIS相关的关键风险因素.
- 为改善儿童AIS的预防和管理提供一个证据基础.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆进行系统的文献搜索,直到2025年8月.
- 包括报告儿科AIS患病率或风险因素的观察性研究.
- 使用纽卡斯尔-太华尺度进行数据提取和质量评估,并使用RevMan 5.4和StataMP 16.0.0进行元分析.
主要成果:
- 该部分将在研究完成后填写.
结论:
- 该部分将在研究完成后填写.
相关概念视频
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
241
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
241
Ischemic Heart Disease: Overview
2.9K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
2.9K
Pharmacokinetics in Pediatric Patients: Drug Distribution
251
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
251
Pharmacokinetics in Pediatric Patients: Drug Metabolism
191
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
191


