The objectives of this study are: (1) to describe the detailed clinical characteristics and prognosis of ASPP patients in order to explore the risk factors of ASPP, and to compare the short-term and long-term functional recovery outcomes between them and their controls; (2) to evaluate the risk of recurrent stroke, particularly during subsequent pregnancies, in ASPP patients; (3) to assess the short-term and long-term outcomes of their offsprings and their future development status. This study is divided into three parts. The first part is a case-control study to explore the risk factors of ASPP and the predictors of the prognosis of ASPP patients. The second part is a cohort study to evaluate the impact of ASPP on the risk of recurrent stroke. The third part is a cohort study to assess the impact of ASPP on the short-term and long-term outcomes of their offsprings by comparing the offsprings of ASPP patients with the offsprings of non-ASPP participants.
Study Type
OBSERVATIONAL
Enrollment
1,200
Beijing Tiantan hospital
Beijing, Beijing Municipality, China
RECRUITINGLong-term modified Ranking Scale scores
The modified Ranking Scale (mRS) scores of ASPP and other comparison participants evaluated by specialists. The mRS scores range from 0 to 6, with higher scores indicating worse outcomes.
Time frame: At follow-up (assessed between July 2024 to October 2024)
Recurrent strokes
Participants who suffer from recurrent stroke events confirmed by neuroimaging
Time frame: At follow-up (assessed between July 2024 to October 2024)
Apgar scores
Apgar scores of newborns evaluated by specialists. Apgar scores range from 0 to 10, with higher scores indicating better outcomes. Apgar score 8-10 is considered as no asphyxia, 4-7 is considered as mild asphyxia, 0-3 is considered as severe asphyxia.
Time frame: At 1 minutes, 5 minutes and 10 minutes after delivery
Age & Stages Questionnaires scores
Age \& Stages Questionnaires, Third Edition (ASQ-3) scores of offsprings via online self-evaluation. ASQ-3 is divided into 5 subdomains. Scores of each subdomain range from 0 to 60, with higher scores indicating better outcomes.
Time frame: At follow-up (assessed between July 2024 to October 2024)
Short-term modified Ranking Scale scores
The modified Ranking Scale (mRS) scores of ASPP and other comparison participants evaluated by specialists. The mRS scores range from 0 to 6, with higher scores indicating worse outcomes.
Time frame: At discharge (assessed up to 5 days)
Strokes during subsequent pregnancies
Participants who suffer from stroke events during any subsequent pregnancy
Time frame: During subsequent pregnancies (assessed up to 5 days after the 6-week postpartum period of subsequent pregnancies)
Intrauterine death or stillbirth
Dead fetus in the uterus at any trimester of pregnancy, or birth of a dead infant after 28+1 gestational weeks
Time frame: Before or at delivery
Critical illness of offsprings
Offsprings requiring hospitalization due to diagnosed diseases within 15 years after birth, including neurological diseases (e.g. epilepsy, cerebral palsy), cardiovascular diseases (e.g. congenital heart disease), gastrointestinal diseases (e.g. necrotizing enterocolitis), respiratory diseases (e.g. allergic asthma), urological diseases (e.g. hypospadias), hematological and immunological diseases and other major diseases
Time frame: At follow-up (assessed between July 2024 to October 2024)
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