دورية أكاديمية
أعرض في EDS

Design and Interrater Reliability of the Pediatric Version of the Race Scale: PedRACE.

التفاصيل البيبلوغرافية
العنوان: Design and Interrater Reliability of the Pediatric Version of the Race Scale: PedRACE.
المؤلفون: Turón-Viñas E; Department of Child Neurology, Pediatrics Service, Hospital Sant Pau, Barcelona, Spain (E.T.-V., S.B.).; IIB Sant Pau Research Institute, Barcelona, Spain (E.T.-V., S.B., I.G.).; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.)., Boronat S; Department of Child Neurology, Pediatrics Service, Hospital Sant Pau, Barcelona, Spain (E.T.-V., S.B.).; IIB Sant Pau Research Institute, Barcelona, Spain (E.T.-V., S.B., I.G.).; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.)., Gich I; IIB Sant Pau Research Institute, Barcelona, Spain (E.T.-V., S.B., I.G.).; Department of Clinical Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (I.G.).; CIBER Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain (I.G.).; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.)., González Álvarez V; Department of Child Neurology, Hospital Sant Joan de Déu, Barcelona, Spain (V.G.A.)., García-Puig M; Department of Child Neurology, Hospital Parc Taulí, Sabadell, Spain (M.G.-P.)., Camós Carreras M; Department of Pediatrics, Dr Josep Trueta University Hospital, Girona, Spain (M.C.C.).; Girona Biomedical Research Institute, Girona, Spain (M.C.C.)., Rodriguez-Palmero A; Pediatric Neurology Unit, Department of Pediatrics, Germans Trias i Pujol University Hospital (A.R.-P.), Spain.; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.)., Felipe-Rucián A; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.).; Child Neurology Section, Hospital Vall d'Hebron, Barcelona, Spain (A.F.-R.)., Aznar-Laín G; Pediatric Neurology, Hospital del Mar, Barcelona, Spain (G.A.-L.).; Program in Neurosciences, Hospital del Mar Research Institute, Barcelona, Spain (G.A.-L.)., Jiménez-Fàbrega X; Catalan Medical Emergencies System, Spain (X.J.-F.)., Pérez de la Ossa N; Stroke Unit, Neuroscience Department, Hospital Universitari Germans Trias i Pujol (N.P.d.l.O.), Spain.; Autonomous University of Barcelona, Spain (E.T.-V., S.B., I.G., A.R.-P., N.P.d.l.O. and A.F.-R.).
مؤلفون مشاركون: Catalan Pediatric Stroke Study Group
المصدر: Stroke [Stroke] 2024 Sep; Vol. 55 (9), pp. 2240-2246. Date of Electronic Publication: 2024 Jul 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0235266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4628 (Electronic) Linking ISSN: 00392499 NLM ISO Abbreviation: Stroke Subsets: MEDLINE
أسماء مطبوعة: Publication: 1998- : Baltimore, Md. : Lippincott Williams & Wilkins
Original Publication: Dallas : American Heart Association
مواضيع طبية MeSH: Ischemic Stroke*/diagnosis , Ischemic Stroke*/therapy , Ischemic Stroke*/ethnology, Humans ; Female ; Child ; Male ; Child, Preschool ; Reproducibility of Results ; Adolescent ; Infant ; Observer Variation ; Severity of Illness Index ; Stroke/diagnosis ; Stroke/therapy
مستخلص: Background: Acute ischemic stroke is a leading cause of pediatric death and disability. A clinical scale adapted for children can ensure early detection of candidates for urgent acute ischemic stroke treatment. The Rapid Arterial Occlusion Evaluation (RACE) scale for adults, which scores 5 items (facial palsy 0-2; arm motor function 0-2; leg motor function 0-2; head/gaze deviation 0-1; and aphasia or agnosia 0-2), has good sensitivity and specificity in detecting large vessel occlusion.
Methods: We adapted the previously validated RACE scale for use in children as the Pediatric RACE scale. This adapted scale was tested by prehospital/emergency room staff attending to patients covered by the Catalan Pediatric Stroke Code and child neurologists for its correlation with the Pediatric National Institutes of Health Stroke Scale and for interrater reliability.
Results: The study included 50 children, 18 with confirmed strokes (7 acute ischemic strokes and 11 hemorrhagic strokes). Prehospital/emergency staff and child neurologists agreed fully regarding 82% of patients and 100% regarding head/gaze deviation and agnosia. The Pediatric RACE scale correlated strongly with the Pediatric National Institutes of Health Stroke Scale in evaluations by child neurologists (Spearman ρ, 0.852; P <0.001) and prehospital/emergency staff (Spearman ρ, 0.781; P <0.001). The median Pediatric RACE score was significantly higher in patients with large vessel occlusion (6.5; interquartile range, 6-7) than with other etiologies.
Conclusions: Pediatric RACE, showing good interrater reliability and correlation with the Pediatric National Institutes of Health Stroke Scale, is a simple scale to detect candidates for pediatric acute stroke treatment, designed for both prehospital and in-hospital use by non-neurologist medical staff.
Competing Interests: Dr Pérez de la Ossa declared financial support from Caixa Foundation, Foundation for the National Institutes of Health, Instituto de Salud Carlos III, and Medtronic for previous work related to prehospital care. The other authors report no conflicts.
فهرسة مساهمة: Investigator: M Álvarez-Molinero; I Barceló; S Brió; D Casellas-Vidal; E Coca-Fernández; L Costa-Comellas; V Delgadillo-Chilabert; A Díaz-Gómez; L Díaz-Simal; L Dougherty-de Miguel; C Escofet; E Esteban; D Gómez-Andrés; X González-Rioja; C Molina-Anguita; L Monlleó-Neila; F Paredes-Carmona; M Pujol; M Raspall-Chaure; L Renter-Valdovinos; J Sala-Colomina; M Sensarrich; S Solà; A Soto; C Torrents; A Turon-Viñas; M Turon; JM Valle-T-Figueras
Keywords: child; emergency medical services; ischemic stroke; neurologists; stroke
تواريخ الأحداث: Date Created: 20240725 Date Completed: 20240826 Latest Revision: 20240826
رمز التحديث: 20240827
DOI: 10.1161/STROKEAHA.124.046846
PMID: 39051112
قاعدة البيانات: MEDLINE
الوصف
تدمد:1524-4628
DOI:10.1161/STROKEAHA.124.046846