Cerebral oximetry with cerebral blood volume index in detecting pediatric stroke in a pediatric ED

The American Journal of Emergency Medicine
Thomas AbramoTodd Nick

Abstract

Despite pediatric stroke awareness and pediatric stroke activation systems, recognition and imaging delays along with activation inconsistency still occur. Reliable objective pediatric stroke detection tools are needed to improve detection and activations. Regional cerebral oxygen saturation (rcso2) with cerebral blood volume index (CBVI) can detect abnormal cerebral physiology. To determine cerebral oximetry in detecting strokes in stroke alert and overall stroke patients. Left rcso2, right rcso2, and rcso2 side differences for stroke, location, and types were analyzed. Compared with stroke alert (n = 25) and overall strokes (n = 52), rcso2 and CBVI were less than those in nonstrokes (n = 133; P < .0001). Rcso2 side differences in stroke alert and overall strokes were greater than in nonstrokes (P < .0001). Lower rcso2 and CBVI correlated with both groups' stroke location, left (P < .0001) and right rcso2 (P = .004). Rcso2 differences greater than 10 had a 100% positive predictive value for stroke. Both groups' rcso2 and CBVI side differences were consistent for stroke location and type (P < .0001). For both groups, left rcso2 and CBVI were greater than those of the right (P < .0001). Hemorrhagic strokes had lower bilateral rc...Continue Reading

References

Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·F A PigulaR D Siewers
Jan 31, 2003·Annals of Neurology·Vijeya GanesanFenella J Kirkham
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Dean B AndropoulosCharles D Fraser
Aug 3, 2006·Pediatrics·Renée A ShellhaasRebecca N Ichord
Sep 30, 2006·Stroke; a Journal of Cerebral Circulation·Pippa G Al-Rawi, Peter J Kirkpatrick
Sep 13, 2007·Neurocritical Care·Jessica CarpenterMichael J Bell
Sep 20, 2008·Stroke; a Journal of Cerebral Circulation·Mubeen F RafayGabrielle A Deveber
Mar 4, 2009·Circulation·Catherine Amlie-LefondUNKNOWN International Pediatric Stroke Study Group
Jul 22, 2009·Pediatrics·Jayasri SrinivasanMark T Mackay
Oct 23, 2009·Neurocritical Care·Anthony A Figaji, Samuel J Kent
Dec 17, 2009·British Journal of Anaesthesia·J M Murkin, M Arango
Jan 8, 2011·Journal of Child Neurology·Michael M Dowling, Catherine M Ikemba
Feb 1, 2011·Annals of Neurology·Mark T MackayUNKNOWN International Pediatric Stroke Study Group
May 7, 2011·Pediatric Emergency Care·Patrick C DraynaCristina Estrada
Nov 30, 2011·Pediatrics·Adam KirtonUNKNOWN International Pediatric Stroke Study Investigators
Jan 4, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nancy S GhanayemGeorge M Hoffman
Apr 3, 2012·Journal of Clinical Monitoring and Computing·T W L ScheerenL A Schwarte
Dec 13, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Michael M DowlingUNKNOWN International Paediatric Stroke Study Group
Jan 29, 2014·The American Journal of Emergency Medicine·Ian KaneRameela Chandrasekhar
Mar 25, 2014·Neurology·Mark T MackayFranz E Babl

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Citations

May 6, 2016·The American Journal of Emergency Medicine·Taylor A BagwellTodd Nick
Dec 13, 2017·Journal of Clinical Monitoring and Computing·Eun-Hee KimJin-Tae Kim
Nov 6, 2018·Pediatric Emergency Care·Shane M McKinneyThomas J Abramo

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