Pediatristlerin İnme Konusunda Farkındalık, İlgi ve Bilgi Düzeylerinin Değerlendirilmesi

Öz

Pediatristlerin İnme Konusunda Farkındalık, İlgi ve Bilgi Düzeylerinin Değerlendirilmesi Amaç: Akut çocukluk çağı inmesi, yüksek düzeyde farkındalık gerektiren acil bir durumdur. Bu çalışma, pediatristlerin çocukluk çağı inmesi konusundaki farkındalığının, ilgi ve bilgisinin değerlendirilmesi amacıyla hazırlanmıştır. Yöntem: Türkiye’nin çeşitli merkezlerinde çalışan doktorlar e-posta yoluyla çocukluk çağı inmesi hakkında online bir ankete davet edildi. Bulgular: Çalışma toplam yüz otuz üç katılımcıyla gerçekleştirildi. Çalışmaya katılanların 86’sı pediatri asistanı (%64,7) ve 47’si pediatri uzmanı (%35.3) olarak görev yapmaktadır. Katılımcıların %42,1'i geçtiğimiz yıl içinde en az bir kez çocukluk çağı inmesini tanı olarak düşündüklerini belirttiler ve %39,8'i çocukluk çağında inme geçirmiş hastaların takip ve tedavilerini yaptıklarını ifade ettiler. İnmenin semptomatik kısaltması olarak adlandırılan FAST (Face-Arm-Speech-Time-Test) anımsatıcısı pediatristlerin %50,4'ü tarafından duyulmuştur. Katılımcılar tarafından çocukluk çağı inmesinin en sık semptomları hemiparezi (%55,6), bilinç bulanıklığı (%36,1), konuşma bozukluğu (%30,1), nöbet (%28,6), görme bozukluğu (%20,3), baş ağrısı (%15) ve senkop (%6,8) olarak belirtilmiştir. Merkezi sinir sistemi enfeksiyonları (%40,6), nöbet (%21,1), hipoglisemi (%8,3) ve migren (%7,5) en sık inme taklitleri olarak değerlendirilmiştir. Başlıca tanı ölçütleri manyetik rezonans görüntüleme (MRG) (%55,6) ve bilgisayarlı tomografi (BT) (%42,9) kullanılmaktadır. Ana tedavi stratejileri antikoagülan (%39,1), trombolitik (%22,6), antitrombositik (%11,3) ve trombektomi (%6) olarak saptanmıştır. Katılımcıların %81,7'si çocukluk çağı inmesi hakkında internet araştırması yapmış, %15,9'u meslektaşlarıyla tartışmış, %2,4'ü eğitim oturumlarına katılmıştır. Sonuç: Çocukluk çağı inmesinin erken tanı ve tedavisi prognoz açısından oldukça önemlidir. Pediatristlerin bu konuda farkındalık ve bilgi düzeyinin arttırılması gerekmektedir. Anahtar Kelimeler: Pediatrist, farkındalık, inme

Anahtar Kelimeler

• pediatrist
• inme
• farkındalık

Evaluation of Pediatricians’ Awareness, Interest and Knowledge Levels Regarding Stroke

Öz

Evaluation of Pediatricians’ Awareness, Interest and Knowledge Levels Regarding Stroke Objective: Acute childhood stroke is a medical emergency requiring a high level of awareness. This study aims to evaluate pediatricians’ awareness, interest, and knowledge regarding childhood stroke. Methods: Physicians working in various centers across Turkey were invited via email to participate in an online survey on childhood stroke. Results: The study was conducted with a total of 133 participants. Among them, 86 (64.7%) were pediatric residents, and 47 (35.3%) were pediatric specialists. A total of 42.1% of participants reported considering childhood stroke as a diagnosis at least once in the past year, and 39.8% stated that they had been involved in the follow-up and treatment of patients with childhood stroke. The FAST (Face-Arm-Speech-Time) mnemonic, used for recognizing stroke symptoms, was known by 50.4% of pediatricians. The most frequently reported symptoms of childhood stroke were hemiparesis (55.6%), altered consciousness (36.1%), speech disorders (30.1%), seizures (28.6%), visual impairment (20.3%), headache (15%), and syncope (6.8%). The most common stroke mimics identified were central nervous system infections (40.6%), seizures (21.1%), hypoglycemia (8.3%), and migraines (7.5%). The primary diagnostic tools used were magnetic resonance imaging (MRI) (55.6%) and computed tomography (CT) (42.9%). The main treatment strategies included anticoagulants (39.1%), thrombolytics (22.6%), antiplatelets (11.3%), and thrombectomy (6%). Among the participants, 81.7% had conducted online research on childhood stroke, 15.9% had discussed the topic with colleagues, and 2.4% had attended educational sessions. Conclusion: Early diagnosis and treatment of childhood stroke are crucial for prognosis. Increasing pediatricians’ awareness and knowledge on this topic is essential. Keywords: Pediatrician, awereness, stroke

Anahtar Kelimeler

• pediatrician
• stroke
• awereness

Kaynakça

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