BACKGROUND Childhood stroke is rare, and diagnosis is frequently delayed. The use of pediatric stroke teams has the potential to decrease time to neurology evaluation and imaging, hastening appropriate diagnosis and treatment for acute neurologic presentations in children. METHODS We performed a retrospective analysis of our institutional pediatric stroke or "brain attack" team (pedsBAT) activations from October 2014 to July 2017. Clinical characteristics and timing parameters were compared between pedsBAT activations in the inpatient vs emergency department (ED) / outpatient settings as well as between pediatric and adult BAT activations in the same time period. RESULTS We identified 120 pedsBAT activations (75% in the ED/outpatient setting) during the study time period. Inpatient pedsBAT activations were more likely than outpatient activations to have heart disease as a risk factor for ischemic stroke and presented more frequently with altered mental status, but there were no differences in the proportion of cerebrovascular diagnoses or timing parameters between the 2 groups. When compared with adult BAT activations, outpatient pedsBAT activations had a longer time from symptom discovery to arrival at the ED, and inpatient pedsBAT activations had longer time from symptom discovery to BAT activation. CONCLUSIONS Compared with adults, the interval leading up to stroke team activation was longer in children, suggesting delays in symptom recognition. Future interventions should be aimed at reducing these delays in presentation to care and stroke alert activation in pediatric patients.

中文翻译：

---

综合中风中心内小儿中风警报小组的表现。

背景 儿童中风是罕见的，诊断经常被延误。儿科卒中团队的使用有可能减少神经学评估和成像的时间，加快对儿童急性神经系统表现的适当诊断和治疗。方法 我们对 2014 年 10 月至 2017 年 7 月期间我们机构的儿科中风或“脑部攻击”团队 (pedsBAT) 激活进行了回顾性分析。比较住院与急诊科 (ED)/门诊设置中 pedsBAT 激活之间的临床特征和时间参数以及同一时间段内儿科和成人 BAT 激活之间的差异。结果我们在研究期间确定了 120 次 pedsBAT 激活（在 ED/门诊环境中为 75%）。住院 pedsBAT 激活比门诊激活更可能将心脏病作为缺血性卒中的危险因素，并且更频繁地出现精神状态改变，但两组之间脑血管诊断的比例或时间参数没有差异。与成人 BAT 激活相比，门诊 pedsBAT 激活从症状发现到到达 ED 的时间更长，住院 pedsBAT 激活从症状发现到 BAT 激活的时间更长。结论 与成人相比，儿童中风团队激活的间隔时间更长，表明症状识别延迟。未来的干预措施应旨在减少儿科患者就诊和中风警报激活的延迟。