The Pediatric Stroke Code.

New challenge in emergency services

Authors

  • Cristina Olmo Ruiz Enfermera
  • Gloria García Cañuelo Enfermera

DOI:

https://doi.org/10.60108/ce.298

Keywords:

Stroke, protocols, stroke code, pediatric patient, nursing

Abstract

In recent years there has been a growth in knowledge of strokes in childhood, not only of the etiology but also of diagnostic and therapeutic methods. The importance of this entity lies in the morbidity and mortality it produces. Most signs and symptoms of Stroke are nonspecific and easily attributable to other causes. The absence of structured and updated protocols favors this high rate of undiagnosed cases.

The main objective of this review is to analyze and update the knowledge about the health care provided to pediatric patients with stroke. For this, a review of the existing literature has been carried out, based on an exhaustive bibliographic search carried out in databases.

After analyzing and comparing the different articles obtained from the bibliographic searches, it is concluded that the Stroke is one of the emerging public health problems. The real influence of certain risk factors, the effectiveness of prevention and the treatments used in these patients remain controversial issues. It is important to be able to determine the stroke mechanism and the age of presentation, because the cause and risk factor strongly influence the prognosis, and consequently, the treatment. The stroke constitutes the prevalent, potentially serious disease paradigm of avoidable consequences and whose prognosis depends on the speed and effectiveness of the actions, where nursing plays a fundamental role.

Author Biography

Cristina Olmo Ruiz, Enfermera

Especialista en Enfermería Familiar y Comunitaria

References

BIBLIOGRAFÍA

Estrategia en ictus del Sistema Nacional de Salud. Ministerio de Sanidad, Servicios Sociales e Igualdad [Internet]. 2008 [cited 1 May 2021] Available from: http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/docs/ EstrategiaIctusSNS.pdf.

Álvarez P. A. Accidente cerebrovascular - revisión de la literatura: etiología, diagnóstico, tratamiento general y análisis pediátrico. Revista Colombiana de Enfermería [Internet]. 2016 [cited 5 September 2021];6(6):102. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=4036690

Vázquez-López M, Castro-de Castro P, Barredo-Valderrama E, Miranda-Herrero M, Gil-Villanueva N, Alcaraz-Romero A et al. Ictus isquémico en niños con cardiopatía: estudio epidemiológico. Neurología [Internet]. 2017 [cited 5 September 2021];32(9):602-609. Available from: https://www.elsevier.es/es-revista-neurologia-295-articulo-ictus-isquemico-ninos-con-cardiopatia-S021348531630055X

Sanchez Alvarez M. Epidemiología y causas de la patología vascular cerebral en niños. Revista española de pediatria [Internet]. 2017 [cited 12 August 2021];73 suplemento 1:1-5. Available from: https://secip.com/wp-content/uploads/2018/04/1-ictus-en-pediatria-.pdf

Mateos Rodriguez A, Martín-Sánchez F, Villarroel González-Elipe P. Reflexiones sobre el plan de atención al ictus en la Comunidad de Madrid. Neurología [Internet]. 2015 [cited 6 July 2021];30(9):593. Available from: https://www.elsevier.es/es-revista-neurologia-295-articulo-reflexiones-sobre-el-plan-atencion-S0213485314000851

Díaz Díaz J, Camacho Salas A, Núñez Enamorado N, Carro Rodríguez M, Sánchez Galán V, Martínez de Aragón Calvo A et al. Ictus en pacientes pediátricos con anemia falciforme. Revista de Neurología [Internet]. 2014 [cited 9 August 2021];59(04):153. Available from: https://www.neurologia.com/articulo/2013452

Plan Andaluz de Atención al Ictus: 2011-2014. Consejería de Igualdad, Salud y Políticas Sociales 2011 [Internet]. [cited 9 August 2021]. Available from:https://goo.su/z0wlbM

Mateos Rodriguez A, Martín-Sánchez F, Villarroel González-Elipe P. Reflexiones sobre el plan de atención al ictus en la Comunidad de Madrid. Neurología [Internet]. 2015 [cited 6 July 2021];30(9):593. Available from: https://www.elsevier.es/es-revista-neurologia-295-articulo-reflexiones-sobre-el-plan-atencion-S0213485314000851

Alvela Suárez L et al. Guía clínica Ictus en fase aguda.Lugo: Servicio de Medicina Interna. Hospital Lucus Augusti. Servicio Galego de Saúde [Internet]. 2014 [cited 20 July 2021] Available from: https://www.fisterra.com/guias-clinicas/ictus-fase-aguda/

Carrera Hueso ML, Rufino Valor A, Rodríguez Martínez P. Plan de atención al Ictus en la Comunidad Valenciana 2011-2015. Comunidad Valenciana: Generalitat. Conselleria de Sanitat [Internet]. 2011 [Cited 3 May 2021].Available from: http://publicaciones.san.gva.es/publicaciones/documentos/V.382-2011.pdf

Liégio Matão L, Borges de Miranda D, Faria Campos P, Pacheco L, Martins Pereira P. Atención al accidente cerebro vascular infantil: perspectiva de la neurología pediátrica. Enfermería Global [Internet]. 2011 [cited 14 September 2021];10(22). Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412011000200009

Barra M, Labberton A, Faiz K, Lindstrøm J, Rønning O, Viana J et al. Stroke incidence in the young: evidence from a Norwegian register study. Journal of Neurology [Internet]. 2018 [cited 17 September 2021];266(1):68-84. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30377817

Klucka J, Stourac P, Stoudek R, Toukalkova M, Harazim H, Kosinova M et al. Ischemic stroke in paediatrics - narrative review of the literature and two cases. Biomedical Papers [Internet]. 2017 [cited 17 September 2021];161(1):24-30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27833170

Beslow L, Dowling M, Hassanein S, Lynch J, Zafeiriou D, Sun L et al. Mortality After Pediatric Arterial Ischemic Stroke. Pediatrics [Internet]. 2018 [cited 17 September 2021];141(5):e20174146. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29695585

Bartha-Doering L, Novak A, Kollndorfer K, Schuler A, Kasprian G, Langs G et al. Atypical language representation is unfavorable for language abilities following childhood stroke. European Journal of Paediatric Neurology [Internet]. 2019 [cited 19 September 2021];23(1):102-116. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30314763

Ghotra S, Johnson J, Qiu W, Newton A, Rasmussen C, Yager J. Age at stroke onset influences the clinical outcome and health-related quality of life in pediatric ischemic stroke survivors. Developmental Medicine & Child Neurology [Internet]. 2015 [cited 19 September 2021];57(11):1027-1034. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26307431

Kornfeld S, Studer M, Winkelbeiner S, Regényi M, Boltshauser E, Steinlin M. Quality of life after paediatric ischaemic stroke. Developmental Medicine & Child Neurology [Internet]. 2016 [cited 20 September 2021];59(1):45-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27767202

Lehman L, Khoury J, Taylor J, Yeramaneni S, Sucharew H, Alwell K et al. Pediatric Stroke Rates Over 17 Years: Report From a Population-Based Study. Journal of Child Neurology [Internet]. 2018 [cited 20 September 2021];33(7):463-467. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935572/

Khalaf A, Iv M, Fullerton H, Wintermark M. Pediatric Stroke Imaging. Pediatric Neurology [Internet]. 2018 [cited 20 September 2021];86:5-18. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30122281

Mackay M, Yock-Corrales A, Churilov L, Monagle P, Donnan G, Babl F. Differentiating Childhood Stroke From Mimics in the Emergency Department. Stroke. 2016;47(10):2476-2481.

Tomás Vila M, Vazquez Costa J, Izquierdo Sebastiá S, Tellez De Meneses Lorenzo M, Dasí Carpio M, Mulas Delgado F. Enfermedad cerebrovascular en la infancia. Análisis retrospectivo de los ingresos hospitalarios en los últimos diez años en un hospital terciario de la Comunidad Valenciana. Anales de Pediatría [Internet]. 2012 [cited 21 September 2021];77(2):75-82. Available from: https://www.analesdepediatria.org/es-enfermedad-cerebrovascular-infancia-analisis-retrospectivo-articulo-S169540331100556X

Ferriero D, Fullerton H, Bernard T, Billinghurst L, Daniels S, DeBaun M et al. Management of Stroke in Neonates and Children: A Scientific Statement From the American Heart Association/American Stroke Association. Stroke [Internet]. 2019 [cited 24 September 2021];50(3). Available from: https://www.ncbi.nlm.nih.gov/pubmed/30686119

Bernard T, Rivkin M, Scholz K, deVeber G, Kirton A, Gill J et al. Emergence of the Primary Pediatric Stroke Center. Stroke [Internet]. 2014 [cited 24 September 2021];45(7):2018-2023. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083478/

Beal C, Flanders S, Bader S. Can Children Reduce Delayed Hospital Arrival for Ischemic Stroke?. Journal of Neuroscience Nursing [Internet]. 2016 [cited 24 September 2021];48(3):E2-E13. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27045288

Gerzson L, Ranzan J, Almeida C, Riesgo R. O impacto do acidente vascular cerebral na qualidade de vida de crianças e adolescentes. Fisioterapia e Pesquisa [Internet]. 2018 [cited 24 September 2021];25(3):241-250. Available from: http://www.scielo.br/pdf/fp/v25n3/en_2316-9117-fp-25-03-241.pdf

Dabdoub, Benjamin C, Mercado C, Jordán O, Ferrufino JL, Silveira E, Dabdoub C.Accidente cerebrovascular: un manto oscuro en pediatría. Revista de la Sociedad Boliviana de Pediatría Métrica [Internet]. 2014 [cited 26 September 2021];53(3):129-136. Available from: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1024-06752014000300004&lang=es

Ranzan J, Rotta N. Ischemic stroke in children: a study of the associated alterations. Arquivos de Neuro-Psiquiatria [Internet]. 2004 [cited 26 September 2021];62(3a):618-625. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000400010

Nunes T, Recalde L, Espínola de Canata M. Características de los accidentes cerebrovasculares (ACV) en niños. Pediatr. (Asunción) [Internet]. 2008 [cited 24 September 2021; 35( 1 ): 18-23. Available from: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S1683-98032008000100004&lng=en.

Torres D, Muñoz T, Bancalari A, Manríquez C. Tratamiento antibiótico empírico inicial prolongado y riesgo de morbimortalidad en recién nacidos de muy bajo peso al nacer. Revista chilena de pediatría [Internet]. 2018 [cited 21 September 2021];(ahead):0-0. Available from: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062018000500621

Published

2025-02-04

How to Cite

Olmo Ruiz, C., & García Cañuelo, G. (2025). The Pediatric Stroke Code.: New challenge in emergency services. Conocimiento Enfermero, 8(27), 8–22. https://doi.org/10.60108/ce.298

Issue

Section

Estudios de revisión bibliográfica