Article

Little is known about psychological and social outcomes after paediatric
stroke. This study aimed to evaluate psychosocial outcomes in children 5 years
after paediatric stroke and explore the contribution of early presenting factors.
METHOD: Thirty-one children (19 males, 12 females) with arterial ischemic stroke
were involved in this prospective, longitudinal study.
Children underwent
intellectual assessment at 12 months poststroke and parents completed
questionnaires rating their own mental health and their child's functioning at 12
months and 5 years poststroke. RESULTS: At 5-year follow-up, psychological and
social function were significantly poorer than normative expectations.
Exploration of early predictive factors showed poorer cognitive and psychological
function at 12 months poststroke and older age at stroke onset was associated
with poorer psychosocial function at 5 years. Larger lesion size was also
associated with poorer psychological function at 5 years poststroke.
INTERPRETATION: These early predictors of poorer psychosocial outcome suggest
that screening children within the first year after stroke may identify children
most at risk of later problems and facilitate early intervention.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS