Recommendations from the International Paediatric Stroke Organization on pediatric neurointerventional best practices based on Delphi consensus
Abstract
Paediatric neurointervention (PNI) markedly differs from adult neuro-intervention, requiring highly subspecialized clinical skills, knowledge, and techniques. Minimum standards of practice are well established in adult neurointervention but are lacking in the field of PNI. We sought to develop expert consensus on best practices for neurointervention in children.Using a two-stage Delphi consensus model we sought expert opinions from PNI practitioners worldwide regarding best practices. A two-stage online de-identified survey of PNI practitioners was undertaken assessing opinions on a range of topics including minimum recommended caseloads for PNI centres. Minimum agreement rates of >60% were set to determine consensus on any specific question. Consensus opinions on best practices were reviewed by the International Paediatric Stroke Organization Executive Committee.For the first-stage survey there were n=50 responses and for the second-stage n=45 responses, with practitioners from all inhabited continents represented. Consensus-based best practices included: i) Elective endovascular therapeutic neuro-interventions should be performed in high-volume paediatric centres with an established multi-disciplinary paediatric neurovascular team, and ii) High-volume centres are those that undertake at least 20 paediatric endovascular therapeutic neuro-interventions annually. Paediatric thrombectomy in large-vessel occlusion stroke, an area of increasing interest and attention, poses…
Read the paper
Related studies
- Understanding the factors influencing fall armyworm (Spodoptera frugiperda J.E. Smith) damage in African smallholder maize fields and quantifying its impact on yield. A case study in Eastern Zimbabwe
- Alarming situation of emerging H5 and H7 avian influenza and effective control strategies
- Livestock and food security: vulnerability to population growth and climate change
- Atmosphere–ocean oxygen and productivity dynamics during early animal radiations
- Characterization of the global distribution and diversified plasmid reservoirs of the colistin resistance gene mcr-9
- The global seroprevalence of Toxoplasma gondii in pigs: A systematic review and meta-analysis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.