Journal article
Accuracy and Reliability of Stroke Diagnosis in the Pediatric Emergency Department
MT Mackay, A Yock-Corrales, L Churilov, P Monagle, GA Donnan, FE Babl
Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2017
Abstract
Background and Purpose - Access to acute stroke interventions in the emergency department (ED) relies on correct clinical diagnosis. Our aims were to determine the accuracy and reliability of pediatric ED physician diagnosis of childhood stroke and other conditions presenting with brain attack symptoms. Methods - Prospective study of consecutive children aged 1 month to 18 years presenting to the ED from June 2009 to December 2010 with focal neurological deficits. Accuracy (sensitivity, specificity, and receiver operator characteristic curves [ROCs]) and interrater agreement (κ) were determined, between ED physician diagnoses, as recorded in the electronic hospital administrative software sy..
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Awarded by Murdoch Children's Research Institute
Funding Acknowledgements
Grant support received from the National Stroke Foundation, Melbourne, Australia, the Collier Charitable Fund, Melbourne, Australia, and the Murdoch Childrens Research Institute, Melbourne, Australia, and the National Health and Medical Research Council (Centre of Research Excellence grant GNT1058560), Canberra, Australia. Franz Babl's time was part funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Victoria, Australia.