Transient ischemic attack requiring hospitalization of children in the united states kids' inpatient database 2003 to 2009

Malik Adil, Adnan I. Qureshi, Lauren A. Beslow, Lori C. Jordan

Research output: Contribution to journalReview article

Abstract

Background and Purpose- Transient ischemic attacks (TIA) are not well described in children. We assessed the prevalence of risk factors for TIA requiring hospitalization in children in a large national database. Methods-Using the Healthcare Cost and Utilization Project Kids' Inpatient Database, children aged 1 to 18 years admitted for TIA in 2003, 2006, and 2009 were identified by International Classification of Diseases, Ninth Revision, Clinical Modification code 435. Descriptive analyses identified patient characteristics. Trend analysis determined the change in annual average hospitalization days from 2003 to 2009. Results- TIA was the primary diagnosis for 531 children. Important secondary diagnoses included sickle cell disease (20%), congenital heart disease (11%), migraine (12%), moyamoya disease (10%), and stroke (4%). Mean length of stay decreased from 3.0 days (95% confidence interval, 2.4-3.6) in 2003 to 2.3 days (95% confidence interval, 2.0-2.7) in 2009 (P=0.04). During the same period, 2590 children were admitted with ischemic stroke; 4.8 children with stroke were admitted for every child with TIA. Conclusions-Recognized risk factors for TIA, including sickle cell disease, congenital heart disease, moyamoya, recent stroke, and migraine, were present in <60% of children. Pediatric admissions for ischemic stroke were 5-fold more common than for TIA. Further study is required to understand the risk of stroke after TIA in children to guide appropriate evaluation and treatment.

Original languageEnglish (US)
Pages (from-to)887-888
Number of pages2
JournalStroke
Volume45
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Transient Ischemic Attack
Inpatients
Hospitalization
Databases
Stroke
Sickle Cell Anemia
Migraine Disorders
Heart Diseases
Confidence Intervals
Moyamoya Disease
International Classification of Diseases
Health Care Costs
Length of Stay
Pediatrics

Keywords

  • Child
  • Ischemic attack
  • Stroke
  • Transient

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Transient ischemic attack requiring hospitalization of children in the united states kids' inpatient database 2003 to 2009. / Adil, Malik; Qureshi, Adnan I.; Beslow, Lauren A.; Jordan, Lori C.

In: Stroke, Vol. 45, No. 3, 01.01.2014, p. 887-888.

Research output: Contribution to journalReview article

Adil, Malik ; Qureshi, Adnan I. ; Beslow, Lauren A. ; Jordan, Lori C. / Transient ischemic attack requiring hospitalization of children in the united states kids' inpatient database 2003 to 2009. In: Stroke. 2014 ; Vol. 45, No. 3. pp. 887-888.
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abstract = "Background and Purpose- Transient ischemic attacks (TIA) are not well described in children. We assessed the prevalence of risk factors for TIA requiring hospitalization in children in a large national database. Methods-Using the Healthcare Cost and Utilization Project Kids' Inpatient Database, children aged 1 to 18 years admitted for TIA in 2003, 2006, and 2009 were identified by International Classification of Diseases, Ninth Revision, Clinical Modification code 435. Descriptive analyses identified patient characteristics. Trend analysis determined the change in annual average hospitalization days from 2003 to 2009. Results- TIA was the primary diagnosis for 531 children. Important secondary diagnoses included sickle cell disease (20{\%}), congenital heart disease (11{\%}), migraine (12{\%}), moyamoya disease (10{\%}), and stroke (4{\%}). Mean length of stay decreased from 3.0 days (95{\%} confidence interval, 2.4-3.6) in 2003 to 2.3 days (95{\%} confidence interval, 2.0-2.7) in 2009 (P=0.04). During the same period, 2590 children were admitted with ischemic stroke; 4.8 children with stroke were admitted for every child with TIA. Conclusions-Recognized risk factors for TIA, including sickle cell disease, congenital heart disease, moyamoya, recent stroke, and migraine, were present in <60{\%} of children. Pediatric admissions for ischemic stroke were 5-fold more common than for TIA. Further study is required to understand the risk of stroke after TIA in children to guide appropriate evaluation and treatment.",
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AB - Background and Purpose- Transient ischemic attacks (TIA) are not well described in children. We assessed the prevalence of risk factors for TIA requiring hospitalization in children in a large national database. Methods-Using the Healthcare Cost and Utilization Project Kids' Inpatient Database, children aged 1 to 18 years admitted for TIA in 2003, 2006, and 2009 were identified by International Classification of Diseases, Ninth Revision, Clinical Modification code 435. Descriptive analyses identified patient characteristics. Trend analysis determined the change in annual average hospitalization days from 2003 to 2009. Results- TIA was the primary diagnosis for 531 children. Important secondary diagnoses included sickle cell disease (20%), congenital heart disease (11%), migraine (12%), moyamoya disease (10%), and stroke (4%). Mean length of stay decreased from 3.0 days (95% confidence interval, 2.4-3.6) in 2003 to 2.3 days (95% confidence interval, 2.0-2.7) in 2009 (P=0.04). During the same period, 2590 children were admitted with ischemic stroke; 4.8 children with stroke were admitted for every child with TIA. Conclusions-Recognized risk factors for TIA, including sickle cell disease, congenital heart disease, moyamoya, recent stroke, and migraine, were present in <60% of children. Pediatric admissions for ischemic stroke were 5-fold more common than for TIA. Further study is required to understand the risk of stroke after TIA in children to guide appropriate evaluation and treatment.

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