United Kingdom

IPSO 2023

Global Perspective: Neurocritical Care for Pediatric Stroke: Indonesia

technical paper

Dear IPSO Virtual Conference Attendees:

Welcome to the IPSO 2023 Virtual Conference. We are delighted to bring together experts from multiple disciplines and six continents to provide a diverse perspective on pediatric cerebrovascular disease.

A few quick words about what to expect. Two important goals of this conference are to (1) foster a sense of community and (2) identify global priorities for our field. We encourage you to express your thoughts live in through the chat function to provide a global perspective on all topics. Please introduce yourself in the chat, so everyone knows where you are attending from.

We are excited to announce IPSO is able to offer 9.5 CME units for the virtual conference. If you would like to claim CME credits, please email membership@internationalpediatricstroke.org. 

We want to hear from you! Planning for IPSO 2024 Congress on March 22nd-24th in Toronto, Canada, will commence as soon as the Virtual Conference ends. Let us know your priorities through the live chat function, via email, or by submitting a symposium idea. Based on your input, the Scientific Program Committee will select the topics that we will address in greater depth when we meet again in the spring.

We hope you find the Virtual Conference both interesting and educational, and hope to see you in person in Toronto, or at another IPSO meeting in the future.

Warm regards,

Heather Fullerton, IPSO President 
Maja Steinlin, IPSO Vice-President 
Lori Jordan, IPSO Secretary & Treasurer 
Noma Dlamini, IPSO Scientific Program Committee Chair 


The International Pediatric Stroke Organization (IPSO) 2023 Virtual Conference is April 28-29th, 2023. The mission of the virtual conference is to unify the global community of professionals engaged in research and clinical care for children with cerebrovascular diseases, and chart a path forward for multinational, multidisciplinary efforts. Similar to the IPSO 2021 Virtual Conference, IPSO has partnered with Underline to host this virtual conference. 

The 2023 IPSO Virtual Conference will offer:

* A highly interactive format: brief recorded talks followed by live panel discussions with audience participation through a chat function and live audience surveys
* Optional break-out groups for IPSO committees, working groups, councils
* Poster sessions available on-demand throughout the conference with a chat function for the audience to comment for ask questions of the presenters

Disclaimer: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of UCSF and the International Pediatric Stroke Organization (IPSO) and Hospital for Sick Children, and Vanderbilt University Medical Center. UCSF is accredited by the ACCME to provide continuing medical education for physicians.

 UCSF designates this live activity for a maximum of 9.5 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Contact membership@internationalpediatricstroke.org if you would like to claim CME for the IPSO 2023 Virtual Conference. 

**About** 
Founded in February, 2019, we are an organization of health professionals, scientists and patient advocates who care about stroke and other cerebrovascular diseases in childhood. We developed out of our original collaborative network, the International Pediatric Stroke Study (IPSS), and now aim to broaden the scope of our mission beyond research.

* Our mission is to improve the lives of children worldwide with cerebrovascular disease through research, education, clinical care and advocacy.

* Our Vision is a world in which international, multidisciplinary collaborations advance the understanding, care, and outcomes of childhood cerebrovascular disease.

To access IPSO 2023 site, please register [here](https://internationalpediatricstroke.org/2023-virtual-conference/registration/). 

The mission of the International Pediatric Stroke Organization (IPSO) 2023 Virtual Conference is to unify the global community of professionals engaged in research and clinical care for children with cerebrovascular diseases, and chart a path forward for multinational, multidisciplinary efforts. 



**Abstract authors:**

Raluca Tudorache¹, Manoelle Kossorotoff², Olivier Naggara², Gregoire Boulouis³

¹Prof Dr Alexandru Obregia Clinical Hospital, ²Univ Hospital Necker-Enfants malades, ³CHU Tours

**Abstract body:**

Introduction. Reducing management delays until revascularization in acute arterial ischemic stroke (AIS) is critical to improve outcomes, yet the determinants of such delays have not been reported in children. Hypothesis. We explored the determinants of delay between last-known-well (LKW) and initiation of recanalization treatment in children. Methods. This is an ancillary study of the national French KidClot study, which included consecutive pediatric patients with AIS and recanalization treatment (IV thrombolysis IVT and/or mechanical thrombectomy MT) from January 1, 2015 to May 31, 2018. We assessed the effect of i) pre-hospital triage (i.e. dispatching considering a potential stroke), ii) direct admission to a tertiary care center versus need for transfer, and iii) management in a pediatric vs adult unit on the delay from LKW to recanalization treatment, as well as on clinical outcomes (mRS at 1 year). Results 68 children were included, treated with IVT alone (n=31), MT alone (n=23), or combined IVT+MT (n=14). Median age was 11 years old [IQR 4-16] and initial PedNIHSS 13 [IQR 7-19]. Prehospital triage demonstrated a significant role in reducing LKW to first recanalization treatment delay (229 vs. 270 min, p=0.01), especially for delays to MT (p<0.001). No significant effect on treatment delay was associated with direct vs secondary admission to a tertiary care center, or management in an adult vs pediatric unit (although a tendency towards shorter delay to MT was observed in adult units: 370 vs 437 min, p=0.06). Prehospital triage was significantly associated with favorable outcome, with a shift towards lower mRS categories (p=0.021) despite similar presentation severity. Conclusions In children with AIS, prehospital triage seems to be the most significant factor associated with shorter recanalization treatment delays, and better outcomes in treated patients. These results present a major incentive to improve the prehospital part of pediatric stroke codes.

Hyperacute pediatric stroke pathway of care: what are the determinants for an earlier access to recanalization treatments and better outcomes? Data from the KidClot study.

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Neonatal Neurology Perspectives on Neonatal Stroke: From the ICU to the Home

Advances in the Critical Care of Neonates and Children with Stroke

Social Determinants of Health: What we can learn from the adult stroke field

Lessons Learned About Diversity and Inclusion in a Pediatric Stroke Rehabilitation Trial

Health Equity in Pediatric Stroke Research

Moyamoya and immunodysregulatory syndromes

Paediatric Strokes in Ibadan, Nigeria: current trends, risk factors and long term outcomes

Prevalence and Predictors of HHT and CM-AVM Among Children who Present with Neurovascular Malformations

poster

panel

https://d3smihljt9218e.cloudfront.net/transcript/49451/subtitle/643e43e316b453063c29105e35e28a17.vtt

English (automatic)

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Global Perspective: Neurocritical Care for Pediatric Stroke: Indonesia

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Hyperacute pediatric stroke pathway of care: what are the determinants for an earlier access to recanalization treatments and better outcomes? Data from the KidClot study.

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