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The Incidence and Characteristics of Perinatal Stroke in Beijing: A Multicenter Study

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Pubmed体系：

收录情况： ◇ SCIE ◇ SSCI

作者：
Xia Qianqian[1] * ; Yang Zhao[1] * ; Xie Yao[1] * ; Zhu Ying[1] ; Yang Zixin[2] ; Hei Mingyan[2] ; Ding Yingxue[3] ; Kong Weijing[3] ; Kang Limin[4] ; Yang Shengnan[4] ; Mei Yabo[5] ; Feng Zhichun[5] ; Zhang Li[6] ; Lei Yanzhe[6] ; Wang Ping[7] ; Dong Jingyu[8] ; Yang Li[8] ; Ju Jun[9] ; Chang Hesheng[9] ; Zhan Shina[10] ; Yu Jinqian[10] ; Zhang Peng[11] ; Wang Ran[11] ; Guo Hui[12] ; Liu Xinli[12] ; Tan Huaqing[13] ; Liu Yakun[13] ; Zhang Zhenzong[14] ; Zhen Lixia[14] ; Yan Jinting[15] ; Liu Zhan[15] ; Yang Chunxia[16] ; Wang Qingqing[16] ; Wang Jinfeng[17] ; Sun Lifang[17] ; Zeng Huihui[18] ; Li Jing[18] ; Qu Wenwen[19] ; Wang Xuemei[19,20] ; Liu Guiying[21] ; Yang Xi[21] ; Liu Xinxin[22] ; Zhang Xuefeng[22] ; Xu Xiaojing[23] ; Gu Yanan[23] ; Long Hui[24] ; Zhang Li[24] ; Liu Lili[1] ; Tang Zezhong[1] ; Hou Xinlin[1] ;
单位： [1]Pediatric Department, Peking University First Hospital, Beijing, China. [2]Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China. [3]Beijing Friendship Hospital, Capital Medical University, Beijing, China. [4]Department of Neonatology, Children's Hospital, Capital Institute of Pediatrics, Beijing, China. [5]Neonatal Intensive Care Unit of Faculty of Pediatrics, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [6]Pediatric Department, Haidian Maternal and Child Health Hospital, Beijing, China. [7]Department of Neonatology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China. [8]Pediatric Department, Tongzhou Maternal and Child Health Hospital, Beijing, China. [9]Pediatric Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. [10]Pediatric Department, Shunyi Maternal and Children's Hospital of Beijing Children's Hospital, Beijing, China. [11]Pediatric Department, Beijing Miyun Maternal and Child Health Hospital, Beijing, China. [12]Pediatric Department, Fengtai Maternal and Child Health Hospital, Beijing, China. [13]Pediatric Department, Beijing Daxing Maternal and Child Care Hospital, Beijing, China. [14]Pediatric Department, The First Hospital of Fangshan, Beijing, China. [15]Pediatric Department, Beijing Mentougou Hospital, Beijing, China. [16]Pediatric Department, Changping Women and Children Health Care Hospital, Beijing, China. [17]Beijing Pinggu Maternal and Child Health Hospital, Beijing, China. [18]Pediatric Department, Huairou Maternal and Child Health Care Hospital, Beijing, China. [19]Department of Pediatrics, Peking University Shougang Hospital and Capital Medical University, Beijing, China. [20]General Respiratory Department of Beijing Jingdu Children's Hospital, Beijing, China. [21]Department of Pediatrics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. [22]Pediatric Department, Fifth Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [23]Pediatric Department, The First Hospital of Tsinghua University, Beijing, China. [24]Department of Pediatrics, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
出处：
DOI： 10.3389/fpubh.2022.783153
ISSN：

关键词： neonatal stroke incidence diagnosis clinical characteristics prognosis

摘要：
ObjectiveTo assess the incidence, risk factors, and clinical characteristics of perinatal stroke in Beijing. MethodsThis multicenter prospective study included all the live births from 17 representative maternal delivery hospitals in Beijing from March 1, 2019 to February 29, 2020. Neonates with a stroke were assigned to the study group. Clinical data, including general information, clinical manifestations, and risk factors, were collected. Up until 18 months after birth, neonates were routinely assessed according to the Ages and Stages Questionnaire (ASQ) and/or the Bayley scale. Statistical analysis was done using the chi-squared, t-tests, and logistic regression analysis using SPSS version 26.0. OutcomesIn total, 27 cases were identified and the incidence of perinatal stroke in Beijing was 1/2,660 live births, including 1/5,985 for ischemic stroke and 1/4,788 for hemorrhagic stroke. Seventeen cases (62.96%) of acute symptomatic stroke and convulsions within 72 h (10 cases, 37.04%) were the most common presentations. Ten patients showed no neurological symptoms and were found to have had a stroke through routine cranial ultrasonography after being hospitalized for non-neurological diseases. The risk factors include primiparity, placental or uterine abruption/acute chorioamnionitis, intrauterine distress, asphyxia, and severe infection. In the study group, 11.1% (3/27) of patients had adverse neurodevelopmental outcomes. The patients in the study group had lower scores for the ASQ than those in the control group in the communication, gross, and fine motor dimensions. ConclusionThe incidence of perinatal stroke in Beijing was consistent with that in other countries. Routine neuroimaging of infants with risk factors may enable identification of asymptomatic strokes in more patients. Patients who have suffered from a stroke may have neurological sequelae; therefore, early detection, treatment, and regular follow-ups are beneficial for improving their recovery outcomes.

基金：
Beijing Municipal Science and Technology Commission [Z211100002921050]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
最新[2025]版：
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
JCR分区：
出版当年[2020]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版：
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子： 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

第一作者：
第一作者单位： [1]Pediatric Department, Peking University First Hospital, Beijing, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Xia Qianqian,Yang Zhao,Xie Yao,et al.The Incidence and Characteristics of Perinatal Stroke in Beijing: A Multicenter Study[J].FRONTIERS in PUBLIC HEALTH.2022,10:doi:10.3389/fpubh.2022.783153.
APA：
Xia Qianqian,Yang Zhao,Xie Yao,Zhu Ying,Yang Zixin...&Hou Xinlin.(2022).The Incidence and Characteristics of Perinatal Stroke in Beijing: A Multicenter Study.FRONTIERS in PUBLIC HEALTH,10,
MLA：
Xia Qianqian,et al."The Incidence and Characteristics of Perinatal Stroke in Beijing: A Multicenter Study".FRONTIERS in PUBLIC HEALTH 10.(2022)

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