Abstract

The prevalence and predictors of perinatal hemorrhagic stroke were determined in a case-control study of infants born from 1993 to 2003 in the Northern California Kaiser Permanente Medical Care Program, Oakland, CA, and reported from the University of California, San Francisco, CA.

Highlights

  • The prevalence and predictors of perinatal hemorrhagic stroke were determined in a case-control study of infants born from 1993 to 2003 in the Northern California Kaiser Permanente Medical Care Program, Oakland, CA, and reported from the University of California, San Francisco, CA

  • Univariate predictors of hemorrhagic stroke were male gender, fetal distress, emergent cesarean delivery, prematurity, and postmaturity but not birth weight or difficult vaginal delivery; 49% of infants delivered by emergent cesarean had fetal distress, compared with 4.3% infants born by vaginal delivery (P

  • In the Kaiser Permanente study, fetal distress and postmaturity were the independent predictors of perinatal hemorrhagic stroke (PHS)

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Summary

Introduction

Of 251 patients with childhood stroke (aged 1 month through 16 years) admitted to Beijing Children’s Hospital, China, 1996-2006, arterial ischemic stroke accounted for the majority of cases (62.5%) and hemorrhagic stroke for 37.5%. The prevalence and predictors of perinatal hemorrhagic stroke were determined in a case-control study of infants born from 1993 to 2003 in the Northern California Kaiser Permanente Medical Care Program, Oakland, CA, and reported from the University of California, San Francisco, CA. 93 cases of perinatal arterial ischemic stroke were identified, a prevalence of 29 in 100,000 or 1 in 3500 live births.

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Conclusion

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