Pediatric stroke in the United States and the impact of risk factors.
One approach to studying pediatric stroke is to analyze a national database that contains data on a significant number of children. We examined an administrative dataset of hospital discharges from the United States, Kids' Inpatient Database 2003 (KID2003), for ICD-9 codes associated with hemorrhagic or ischemic stroke in children aged >30 days to 20 years. 3156 children were discharged with a diagnosis of ischemic stroke and 2022 with hemorrhagic stroke after statistical weighting. The odds for a male discharged with hemorrhagic stroke was 1.5 (CI: 1.35-1.68) and for ischemic stroke was 1.37 (CI: 1.24-1.51) compared with a female. The odds for males discharged with a stroke were greatest for ages 16 to 20 years and least for 4 years. This study confirms a male predominance for stroke. The odds for hospitalization with a stroke diagnosis are greatest in very young and older adolescent males. Hemorrhage is an important stroke subtype in children.
Lo
Warren
W
Department of Pediatrics and Neurology, The Ohio State University, Columbus, Ohio 43205-2664, USA. Warren.Lo@nationwidechildrens.org
Stephens
Julie
J
Fernandez
Soledad
S
D000293:Adolescent; D000367:Age Factors; D002545:Brain Ischemia / Q000150:complications / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D007223:Infant; D020300:Intracranial Hemorrhages / Q000150:complications / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D020521:Stroke / Q000150:complications / Q000453:epidemiology*; D014481:United States; D055815:Young Adult