Abstract TP315: Social Vulnerability and Delayed Hospital Presentation in Pediatric Arterial Ischemic Stroke: A Single Center Retrospective Study

Introduction: In acute arterial ischemic stroke (AIS), delayed hospital presentation and diagnosis are associated with worse outcomes. In adults, socioeconomic factors have been linked to these delays. Despite increased awareness of AIS in pediatrics, delayed hospital presentation remains an issue. The purpose of this study is to assess differences in socioeconomic and geographic factors between pediatric AIS patients at a single institution. Methods: A retrospective cohort study was approved by Cook Children's Medical Center (CCMC) institutional review board. Children (29 days – 18 years) treated for acute AIS March 1, 2018 – May 31, 2025, were categorized as delayed (symptom presentation >6 hours) or timely (