Rehabilitation for Pediatric Stroke in Low and Middle Income Countries: A Focused Review

Martinez, Anastasia Raquel; Turpin, Melissa; McGloon, Kelly; Coker-Bolt, Patricia

doi:10.1016/j.spen.2022.101000

Cited by 2 publications

(2 citation statements)

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“…These factors could potentially exacerbate health inequalities among pediatric stroke survivors in LMICs. 38 Over the next decade, mirroring the rising trend in adult stroke, 10 the global burden of childhood stroke is projected to escalate to 513 034 incident cases, reaching 19.37 per 100 000 persons by 2030. This persistent increase reinforces its status as a primary public health concern.…”

Section: Discussionmentioning

confidence: 99%

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Global, Regional, and National Burdens of Stroke in Children and Adolescents From 1990 to 2019: A Population-Based Study

Sun,

Ma,

Jin

et al. 2024

Stroke

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BACKGROUND: Stroke is one of the leading causes of death among children, yet evidence on stroke incidence and prognosis in this population is largely neglected worldwide. The aim of this study was to estimate the latest burden of childhood stroke, as well as trends, risk factors, and inequalities from 1990 to 2019, at the global, regional, and national levels. METHODS: The Global Burden of Disease 2019 study was utilized to evaluate the prevalence, incidence, years lived with disability, years of life lost (YLLs), and average annual percentage changes in stroke among populations aged 0 to 19 years from 1990 to 2019. RESULTS: The global age–standardized incidence of stroke increased (average annual percentage change, 0.15% [95% uncertainty interval, 0.09%–0.21%]), while YLLs decreased substantially (average annual percentage change, −3.33% [95% uncertainty interval, −3.38% to −3.28%]) among children and adolescents between 1990 and 2019. Ischemic stroke accounted for 70% of incident cases, and intracerebral hemorrhage accounted for 63% of YLLs. Children under 5 years of age had the highest incidence of ischemic stroke, while adolescents aged 15 to 19 years had the highest incidence of hemorrhagic stroke. In 2019, low-income and middle-income countries were responsible for 84% of incident cases and 93% of YLLs due to childhood stroke. High-sociodemographic index countries had a reduction in YLLs due to stroke that was more than twice as fast as that of low-income and middle-income. CONCLUSIONS: Globally, the burden of childhood stroke continues to increase, especially among females, children aged <5 years, and low-sociodemographic index countries, such as sub-Saharan Africa. The burden of childhood stroke is likely undergoing a significant transition from being fatal to causing disability. Global public health policies and the deployment of health resources need to respond rapidly and actively to this shift.

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Section: Discussionmentioning

confidence: 99%

“…These factors could potentially exacerbate health inequalities among pediatric stroke survivors in LMICs. 38…”

Section: Discussionmentioning

confidence: 99%