Authors
Rachel Pearson, Stuart Fraser, Lisa Pabst, Maria M Galardi, Kristin Guilliams, Brian M Faux, Sarah Lee, Kriti Bhayana, Robin Novakovic-White, Carl H Schultz, Joshua Bobko, Heather Fullerton, Lori C Jordan, Christine K Fox, with the Texas Governor’s EMS and Trauma Advisory Council (GETAC) Pediatric Stroke Task Force
Published in
Stroke. Volume 57. Issue 8. Pages 2555-2564. Epub Jul 27, 2026.
Abstract
Stroke is less common in children than in adults, yet equally devastating. Nevertheless, children with symptoms of acute stroke commonly present to community hospitals or adult stroke centers where experience and institutional protocols for pediatric stroke diagnosis and management may be limited. Despite advances in pediatric stroke awareness and the implementation of stroke pathways in many children's hospitals, significant gaps remain in the timely recognition, diagnosis, and management of pediatric stroke. A key contributing factor is the lack of system-level infrastructure to guide pediatric acute stroke care. This special report examines the challenges and barriers to achieving Pediatric Stroke Readiness at a national level in the United States and presents 5 engagement case studies highlighting efforts to establish processes and networks for pediatric stroke management across diverse care settings. The cases emphasize the development and implementation of systems of care in which pediatric stroke centers collaborate with first responders, community hospitals, and adult stroke centers to improve the delivery of acute stroke care for children. The strategies underscore different engagement approaches and identify opportunities for future research and quality improvement. These case studies also illustrate educational materials and clinical pathways that may serve as resources for others pursuing similar initiatives.
PMID:
42507792
Bibliographic data and abstract were imported from PubMed on 28 Jul 2026.
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