Journal article
Differentiating arterial ischaemic stroke from migraine in the paediatric emergency department
MT Mackay, M Lee, A Yock-Corrales, L Churilov, GA Donnan, P Monagle, FE Babl
Developmental Medicine and Child Neurology | WILEY | Published : 2018
DOI: 10.1111/dmcn.13772
Abstract
Aim: To estimate the strengths of association between clinical features and migraine or arterial ischaemic stroke (AIS) in children presenting to the emergency department. Method: Eighty-four children with migraine, prospectively recruited from 2009 to 2010, were compared with 55 children with AIS, prospectively/retrospectively recruited from 2003 to 2010. Odds ratios were calculated via logistic regression to measure associations between clinical features and process-of-care factors, and migraine and AIS. Results: Median age was 13 years 5 months (interquartile range 12y 11mo–13y 10mo) for migraine and 5 years (interquartile range 3y 7mo–8y) for patients with AIS. All cases of AIS and 30% o..
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Funding Acknowledgements
Grant support was received from the National Stroke Foundation, Melbourne, Australia; the Collier Charitable Fund, Melbourne, Australia; and the Murdoch Children's Research Institute, Melbourne, Australia, for a research assistant to collect study data. Franz E Babl's time was partly funded by a grant from the Royal Children's Hospital Foundation, Melbourne, and the National Health and Medical Research Council Canberra, Australia Victoria, Australia. The authors have stated that they had no interests that might be perceived as posing a conflict or a bias.