Striving toward quality metrics for pediatric stroke: time from door to diagnosis
Among children with acute neurological symptoms selected for neuroimaging, CT was the most common modality while MRIs were performed with a substantial time delay. While EMS providers rarely suspected stroke, their diagnosis impacted imaging decisions in the ED, suggesting a need to raise awareness among prehospital providers. To measure quality improvement in pediatric stroke, new pediatric-specific metrics like "door to diagnosis" time, should be further explored.
Authors
- Kellie Bacon (ORCID: https://orcid.org/0000-0001-6913-4574)
- Shelby K. Shelton (ORCID: https://orcid.org/0000-0002-8999-3074)
- Theodore Heyming (ORCID: https://orcid.org/0000-0003-0498-6375)
- Rachel Pearson (ORCID: https://orcid.org/0000-0002-9418-8184)
- Heather J. Fullerton (ORCID: https://orcid.org/0000-0002-4828-1687)
- Christine K. Fox (ORCID: https://orcid.org/0000-0001-6934-3624)
- Carl H. Schultz (ORCID: https://orcid.org/0000-0002-7221-7204)
- Maria Kuchherzki
- Tatiana Moreno
- Nancy K. Hills
- Rowena Roque
Institutions
- Children's Hospital of Orange County (US)
- University of California, San Francisco (US)
- University of California, Irvine (US)
- Orange County Healthcare Agency (US)
- UC Irvine Health (US)
- Irvine University (US)
Publication Details
- Journal
- Frontiers in Stroke
- Published
- 2026-01-07
- DOI
- https://doi.org/10.3389/fstro.2025.1718355
- Primary Topic
- Blood Coagulation and Thrombosis Mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- University of California, San Francisco