ICF Priorities and the Impact of Demographic Factors in a Paediatric Poststroke Population: An Observational Study.
Leanne Dreyer, Ibidun Fakoya, Capucine Jauffret and 1 others
PMID 42775472WHAT IT FOUND
Priorities did not differ by sex, ethnicity or local deprivation.
Post-stroke children and families most often raised everyday activities and participation. Body function and service concerns were more common in primary and high school.
Key findings
01The proportion of priorities across ICF components did not differ significantly by sex (p = 0.92), ethnicity (p = 0.44) or deprivation (p = 0.84).
02Across 222 priorities, activities and participation were most common (47%), followed by body functions (25%), environmental factors (23%) and body structures (5%).
03There was a nonsignificant trend toward increased reporting of body function and environmental priorities in primary and high school (p = 0.25), with 13.5% of preschool priorities about body function, 25.2% in primary school and 33.3% in high school.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 59 children and young people from a specialist NHS clinic were included, so the findings may not represent all post-stroke children. The analysis used the most recent visit for each child, so it did not follow how priorities changed over time. Most patients (73%) had perinatal or childhood stroke before age 1, so the findings may not apply to children whose stroke happened later. No clinical stroke details such as scan-confirmed lesion were analysed, and some strokes were clinically diagnosed without scans. Deprivation was measured at local area level using the English Indices of Multiple Deprivation 2019. The age difference in body function and environmental priorities was a nonsignificant trend, not a proven effect.
Declared interests
The funding section says the authors have nothing to report. Two authors, L.D. and N.d.S.F., hold clinical management roles in the service that supplied the data. The authors said the views are their own and not necessarily those of the NHS.
The easy way to misread this
Do not read the higher body function and environmental priorities in older children as a proven age effect. The trend was not significant (p = 0.25), and the study was a single clinic audit.