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      Characteristics and functional outcomes of pediatric stroke survivors at a rehabilitation unit in Saudi Arabia.

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          Abstract

          There is a lack of data regarding functional outcomes of comprehensive inpatient rehabilitation (IPR) in children with stroke in Saudi Arabia. The objective of this study was to analyze the effect of IPR on functional outcomes of pediatric stroke survivors. This retrospective cohort study included pediatric stroke survivors (n = 18) admitted to pediatric rehabilitation unit from January 2011 to December 2018. Data were obtained regarding functional status based on WeeFIM at the time of admission and discharge. Functional gain was compared within genders, age-groups, geographical regions, lesion characteristics, location of motor deficits, primary etiology, comorbidities, and risk factors. Improvement in self-care, mobility, and cognition was also compared. Results showed a delayed admission to IPR from the time of stroke; however, a significant gain was observed in overall WeeFIM score (p < 0.001), self-care, and mobility (both p = 0.001) but not in cognition (p = 0.13). WeeFIM gain was significantly better in hemorrhagic stroke survivors than ischemic stroke survivors (p = 0.027). Age-group, gender, geographical region, primary etiology, lesion characteristics, comorbidities, risk factors, and location of motor deficits did not affect the functional improvement. The association analysis of WeeFIM gain with age, duration from onset of stroke to IPR admission, WeeFIM score at admission, and length of stay did not yield any significant value. Self-care domain of WeeFIM had significantly better percentage gain than mobility and cognition (p = 0.01). In conclusion, functional outcomes among our cohort of Saudi pediatric stroke survivors improved significantly after IPR especially in self-care. Hemorrhagic strokes had better functional outcome than ischemic strokes.

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          Author and article information

          Journal
          J Clin Neurosci
          Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
          Elsevier BV
          1532-2653
          0967-5868
          Nov 2020
          : 81
          Affiliations
          [1 ] Department of Physical Medicine & Rehabilitation, King Fahad Medical City, Riyadh, Saudi Arabia. Electronic address: drsamipmr@gmail.com.
          [2 ] Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Jhelum, Pakistan.
          [3 ] Department of Physical Medicine & Rehabilitation, King Fahad Medical City, Riyadh, Saudi Arabia.
          [4 ] Rehabilitation Nursing Section, King Fahad Medical City, Riyadh, Saudi Arabia. Electronic address: mflandez@kfmc.med.sa.
          Article
          S0967-5868(20)31566-6
          10.1016/j.jocn.2020.10.014
          33222951
          71d2318f-4359-4dd6-a542-cd4490081c35
          Copyright © 2020 Elsevier Ltd. All rights reserved.
          History

          Children,Rehabilitation,Saudi Arabia,Stroke,Treatment outcome

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