Pediatric Stroke Outcome Measure

The Pediatric Stroke Outcome Measure- A 2018 Update

The Pediatric Stroke Outcome Measure: A predictor of outcome following arterial ischemic stroke.  This is a review of a recently published article, The Pediatric Stroke Outcome Measure: A predictor of outcome following arterial ischemic stroke.   Article Summary: Pediatric Stroke Outcome Measure (PSOM) is commonly used throughout pediatric hospitals as a standardized neurologic outcome measure for pediatric stroke. The PSOM has been validated for this population, however the long-term predictive value is largely unknown. This article mentions that the “predictive value of the PSOM at 1-month after AIS has not previously been reported.” The purpose of this article was to evaluate the relationship between neurologic outcomes at 1-month post pediatric arterial ischemic stroke (AIS) as well as motor and adaptive behavior outcomes at 12-months. They also measured the PSOM at 4 time points within the first year following AIS. This was a single-site, prospective, longitudinal observational cohort study in which children…

The Pediatric Stroke Outcome Measure: A Validation and Reliability Study

Introduction/Background: The Pediatric Stroke Outcome Measure (PSOM) is appropriate for newborn to adult age for determining stroke-specific outcomes through 115 test items in 5 functional and neurological deficit subscales including: right sensorimotor, left sensorimotor, language production, language comprehension and cognitive/behavior. The PSOM is chronologically organized across the development spectrum. For instance, primitive reflexes are included for children <2 years. Scores for each item range from 0 (no deficit) to 10 (maximum deficit), and are summed to infer the total score. Administration time for this measure is approximately 20 minutes.  Purpose: The purpose of this study was to examine the PSOM’s construct validity in measuring neurological outcomes in pediatric stroke survivors and interrater reliability for both prospective and retrospective scoring. When using this objective measure in a prospective study, one would evaluate a like group of individuals to determine how differing factors affect rates of certain outcomes. Whereas a retrospective study…

Pediatric Stroke Outcome Measure

All information was reviewed and appears up to date. Summary: Lo, W., A. L. Gordon, C. Hajek, A. Gomes, M. Greenham, V. Anderson, K. O. Yeates, and M. T. Mackay. “Pediatric Stroke Outcome Measure: Predictor of Multiple Impairments in Childhood Stroke.” Journal of Child Neurology 29.11 (2013): 1524-530. Web. The purpose of this study was to examine the relationship between the scores on the pediatric stroke outcome measure (PSOM) and other functional psychometric outcomes: cognitive ability, problem behavior, adaptive behavior, and social participation. 36 stroke subjects  were identified retrospectively and recruited from the Nationwide Children’s Hospital and Royal Children’s Hospital. Inclusion criteria featured 1. clinically symptomatic stroke with radiological confirmation 2. stroke occurring between birth and age 17 3. stroke occurring 1 year prior to evaluation 4. subject must be able to complete test battery. Exclusion criteria included strokes due to sickle cell disease, brain neoplasm, watershed infarcts, hydrocephalus, and…

Pediatric Stroke Outcome Measure