title: Pediatric stroke outcome measure: predictor of multiple impairments in childhood stroke.
abstract: The ability to anticipate deficits would help with implementation of interventions for children affected by stroke. The pediatric stroke outcome measure (measure) measures neurological impairment after stroke, but there has been little research examining the relationship between the measure and functional outcomes. We hypothesized the Measure correlates with cognitive and behavioral outcomes. Thirty-six children with stroke were assessed with the Measure, and tested for cognitive ability, problem behavior, adaptive behavior, and social participation. We examined the correlation between the total Measure and outcomes and determined how subscale scores associated with outcomes. Higher total Measure scores correlated with poorer outcomes in cognitive ability, problem behaviors, adaptive behaviors, and social participation. Specific subscale scores correlated with poorer outcomes in multiple domains. The total Measure can be used to anticipate poor outcomes in multiple domains after stroke and can help the clinician in the treatment of children as they recover.
authors.affiliation: Division of Neurology, Department of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, Ohio, USA warren.lo@nationwidechildrens.org.
authors.forename: Warren
authors.initials: W
authors.lastname: Lo
authors.affiliation: Paediatric Occupational Therapy Department, Paediatric Neuroscience, Evelina Children's Hospital, Guy's & St Thomas' Hospital NHS Foundation Trust, London, United Kingdom.
authors.forename: Anne L
authors.initials: AL
authors.lastname: Gordon
authors.affiliation: Department of Psychology, The Ohio State University, Columbus, Ohio, USA Center for Biobehavioral Health, Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Hajek
authors.affiliation: Critical Care & Neurosciences Research Theme, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Psychological Medicine, Monash University, Melbourne, Australia.
authors.forename: Alison
authors.initials: A
authors.lastname: Gomes
authors.affiliation: Critical Care & Neurosciences Research Theme, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
authors.forename: Mardee
authors.initials: M
authors.lastname: Greenham
authors.affiliation: Critical Care & Neurosciences Research Theme, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Department of Psychology, The Royal Children's Hospital, Melbourne, Australia School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
authors.forename: Vicki
authors.initials: V
authors.lastname: Anderson
authors.affiliation: Department of Psychology, The Ohio State University, Columbus, Ohio, USA Center for Biobehavioral Health, Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA Division of Psychology, Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA.
authors.forename: Keith O
authors.initials: KO
authors.lastname: Yeates
authors.affiliation: Critical Care & Neurosciences Research Theme, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Department of Neurology, The Royal Children's Hospital, Melbourne, Australia Department of Paediatrics, University of Melbourne, Parkville, Australia.
authors.forename: Mark T
authors.initials: MT
authors.lastname: Mackay
mesh_terms: D000293:Adolescent; D002545:Brain Ischemia / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007361:Intelligence Tests; D008297:Male; D009483:Neuropsychological Tests; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011379:Prognosis; D020521:Stroke / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*
keywords: behavior; ischemic stroke; outcome measure; pediatric; social participation