Reported July 23,
2003
Stroke Risk in Children
(Ivanhoe Newswire) -- Boys
and black children are at an
increased risk for a stroke,
according to new research, yet
researchers say the common risk
factors for a stroke in children
do not fully explain these
findings.
It is well documented that
black adults and adult males
have a higher risk for a stroke
but little is known about
childhood stroke. Researchers
from the University of
California, San Francisco,
looked at which children
suffered a stroke over a 10-year
period.
The study included 2,278
children who were hospitalized
for stroke. The children ranged
in age from 1 month old to 19
years old. Researchers examined
hospital discharge records to
determine what type of stroke
the child had, the gender of the
child, and the ethnicity of the
child.
Researchers report the annual
incidence of a stroke in
children was 2.3 strokes per
100,000 children. Half of the
strokes suffered were ischemic
strokes resulting from blocked
arteries. The study reports boys
were found to be 28-percent more
likely to suffer a stroke than
girls. One of the risk factors
for a childhood stroke is head
trauma. Researchers say while
boys were more likely to have a
head trauma than girls, this did
not fully explain the increased
risk to the young males.
Another risk factor for a
childhood stroke is being
diagnosed with sickle cell
disease. Sickle cell disease is
a blood disorder affecting the
red blood cells that most
commonly strikes black children.
Researchers say black children
were twice as likely to have a
stroke than white children in
general. After excluding cases
were the child also had sickle
cell disease, black children
still had a 61- percent
increased risk of a stroke.
Researchers say the study
indicates sickle cell disease
and head trauma do not fully
explain why boys and black
children are at an increased
risk of having a stroke. They
feel further research is needed
to explore unrecognized risk
factors such as genetic
disposition or unidentified
environmental risks. They hope
this will shed some light on why
children have strokes and why
black children and boys are at a
higher risk for a stroke.
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SOURCE: Neurology,
2003;61:189-194