Article

Paediatric arterial ischaemic stroke can lead to reduced quality of life
(QoL). It is important to identify predictors of QoL to support recovery. We
examined long-term QoL after arterial ischaemic stroke concerning different
variables. METHOD: Children registered in the Swiss Neuropediatric Stroke
Registry and suffering from arterial ischaemic stroke between 2000 and 2008 were
included. Two years post-stroke, assessments included intelligence quotient tests
for cognitive impairment and modified Rankin Scale (mRS) for neurological
impairment; 5 years post-stroke, the Kidscreen-27 was used for QoL, DSM-IV
criteria screening was used for attention deficits, and the ABILHAND-Kids was
used for manual motor skills.
Age at stroke, sex, socioeconomic status, lesion
characteristics, neuropsychological and motor outcome, and mRS were correlated
with QoL measures. RESULTS: Seventy children were examined (49 males, 21 females;
mean age 7y 2wks). Age at stroke, sex, socioeconomic status, and lesion
characteristics did not influence QoL; IQ below average and attention deficits
partially influenced QoL. The highest predictive value for QoL was found for
manual motor impairment (p=0.002) and mRS scores (p=0.013). Combined motor,
cognitive, and attention impairment negatively affected QoL (p=0.001).
INTERPRETATION: Neurological and cognitive impairments after paediatric arterial
ischaemic stroke negatively influence QoL. Children with motor and neurological
problems, as well as those with combined motor, cognitive, and attention
problems, are at higher risk for low QoL.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS