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RCPCH Stroke in Childhood Guidelines: how well are these being followed?
  1. Yoshua Colyn Collins-Sawaragi1,
  2. Hannah Walker1,
  3. Julia Sanpera-Iglesias1,
  4. Susan Byrne1,2,
  5. Elizabeth Wraige1,
  6. Daniel E Lumsden1,
  7. Shan Tang1
  1. 1 Paediatric Neurosciences, Evelina London Children’s Hospital, London, UK
  2. 2 Royal College of Surgeons Ireland, FutureNeuro, Dublin, Ireland
  1. Correspondence to Dr Yoshua Colyn Collins-Sawaragi, Paediatric Neurosciences, Evelina London Children's Hospital, London SE1 7EH, UK; y.collins-sawaragi{at}

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Stroke is an under-recognised condition in paediatric patients despite an estimated incidence of 2.6–3.3/100 000 for ischaemic and haemorrhagic stroke.1 2 Paediatric stroke has a significant morbidity with long-term disability, adverse effect on cognitive outcomes and associated mortality.2 The Royal College of Paediatrics and Child Health (RCPCH) Stroke in Childhood Guidelines3 highlight the clinical features of stroke, the need to calculate a Pediatric National Institutes of Health Stroke Scale (PedNIHSS), the importance of brain imaging with angiography ≤1 hour of admission and in ischaemic stroke, consideration of thrombolysis if ≤4.5 hours of symptom onset and thrombectomy.

We audited if guidelines were being followed in two cohorts of paediatric patients over the age of 2 years (the age from when …

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  • Contributors YCC-S, HW, JS-I are joint first authors and contributed equally to this paper. YCC-S, HW, JS-I, SB, EW, DEL, ST were involved in planning, conduct and reporting of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests EW was on the working group for developing the RCPCH Stroke in Childhood Guidelines.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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