Quality of life among children who had undergone ventriculoperitoneal shunt surgery

Prakash, Priyanka; Dhandapani, Manju; Ghai, Sandhya; Singh, Navdeep; Dhandapani, Sivashanmugam

doi:10.4103/jpn.jpn_118_17

Cited by 18 publications

(5 citation statements)

References 29 publications

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“…Os sintomas precoces relacionados a pós operatório do implante da válvula incluem febre e convulsões, mas são associados também a patologia subjacente, mau funcionamento da derivação e infecção. Por isso, é importante conhecer quais medidas devem ser tomadas para prevenir o aparecimento de infecções (Prakash et al, 2018). Necessidade de acompanhamento ambulatorial com neurocirurgião (Tavares et al, 2020).…”

Section: Discussionunclassified

Construção e validação de tecnologia cuidativo-educacional para o cuidado de enfermagem à criança com hidrocefalia

Oliveira¹,

Whitaker²,

Martins³

et al. 2023

CLCS

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A prevalência de hidrocefalia na população infantil é pouco relatada, podendo estar presente, na forma congênita, em 3 a 4 por 1000 nascidos vivos. Sendo assim, o estudo em questão teve como objetivo construir e validar uma Tecnologia Cuidativo-Educacional para o cuidado de Enfermagem à criança com hidrocefalia no contexto hospitalar. Estudo metodológico realizado em hospital pediátrico de grande porte no interior da Bahia, com 27 enfermeiras participantes. Desenvolvido em três etapas e a primeira contemplou a elaboração da tecnologia, do tipo Manual, a partir da definição do objetivo, população alvo e levantamento conceitual. Na segunda etapa, a validação de conteúdo por meio da avaliação com cinco juízes e na última etapa, a validação com o público-alvo da instituição do estudo. Ao final, foi aplicado um teste piloto. A Tecnologia Cuidativo-Educacional, do tipo Manual, sobre o cuidado de enfermagem à criança com hidrocefalia alcançou um índice de validade de conteúdo geral de 0,94. Na validação com o público-alvo obteve um índice de 0,99. Sua validação foi feita sob os aspectos da aparência/clareza, abrangência, pertinência e aplicabilidade à prática do enfermeiro no contexto hospitalar pediátrico. Este estudo tem relevância e impacto para a assistência de enfermagem à criança com hidrocefalia e concentra-se na perspectiva de aplicação de uma tecnologia leve voltada para promoção de qualidade da assistência nesse contexto.

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Section: Discussionunclassified

Construção e validação de tecnologia cuidativo-educacional para o cuidado de enfermagem à criança com hidrocefalia

Oliveira¹,

Whitaker²,

Martins³

et al. 2023

CLCS

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“…61 Furthermore, CSF-shunt placement and subsequent revisions have been demonstrated in a recent survey of 562 patients to reduce QoL due to pain, restriction of activity due to fear of damaging the shunt, and significant number of revisions. 62,63 Mitchell et al reported an average of 10 shunt revisions per patient, 62 although the range can largely vary across surgery types. 58 This finding is consistent with existing literature.…”

Section: Effect Of Surgery Type On Hme Seizure Outcomementioning

confidence: 99%

Hemimegalencephaly: A Systematic Comparison of Functional and Anatomic Hemispherectomy for Drug-Resistant Epilepsy

Goel,

Ghadiyaram,

Krishnakumar

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: Hemimegalencephaly (HME) is a rare diffuse malformation of cortical development characterized by unihemispheric hypertrophy, drug-resistant epilepsy (DRE), hemiparesis, and developmental delay. Definitive treatment for HME-related DRE is hemispheric surgery through either anatomic (AH) or functional hemispherectomy (FH). This individual patient data meta-analysis assessed seizure outcomes of AH and FH for HME with pharmacoresistant epilepsy, predictors of Engel I, and efficacy of different FH approaches. METHODS: PubMed, Web of Science, and Cumulative Index to Nursing and Allied Health Literature were searched from inception to Jan 13th, 2023, for primary literature reporting seizure outcomes in >3 patients with HME receiving AH or FH. Demographics, neurophysiology findings, and Engel outcome at the last follow-up were extracted. Postsurgical seizure outcomes were compared through 2-tailed t-test and Fisher exact test. Univariate and multivariate Cox regression analyses were performed to identify independent predictors of Engel I outcome. RESULTS: Data from 145 patients were extracted from 26 studies, of which 89 underwent FH (22 vertical, 33 lateral), 47 underwent AH, and 9 received an unspecified hemispherectomy with a median last follow-up of 44.0 months (FH cohort) and 45.0 months (AH cohort). Cohorts were similar in preoperative characteristics and at the last follow-up; 77% (n = 66) of the FH cohort and 81% (n = 38) and of the AH cohort were Engel I. On multivariate analysis, only the presence of bilateral ictal electroencephalography abnormalities (hazard ratio = 11.5; P = .002) was significantly associated with faster time-to-seizure recurrence. A number-needed-to-treat analysis to prevent 1 additional case of posthemispherectomy hydrocephalus reveals that FH, compared with AH, was 3. There was no statistical significance for any differences in time-to-seizure recurrence between lateral and vertical FH approaches (hazard ratio = 2.59; P = .101). CONCLUSION: We show that hemispheric surgery is a highly effective treatment for HME-related DRE. Unilateral ictal electroencephalography changes and using the FH approach as initial surgical management may result in better outcomes due to significantly lower posthemispherectomy hydrocephalus probability. However, larger HME registries are needed to further delineate the predictors of seizure outcomes.

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“…The questionnaire-based on the HOQ (hydrocephalus outcome questionnaire) uses 53 items to assess the children's quality of life (15 items for the physical domain, 25 items for the social-emotional domain, 13 items for the cognitive domain) from Kulkarni 2004(Iglesias, Ros, & Martín, 2018Karmur & Kulkarni, 2017;Prakash et al, 2018). This questionnaire is used in children with age in the range of 4-18 years; and the number of males is more than female except in the research (Karmur & Kulkarni, (2017) with a difference of 1%.…”

Section: Hydrocephalus Outcome Questionnaire (Hoq)mentioning

confidence: 99%

Evaluate On The Quality Of Life Of Hydrocephalus Children With Shunt Implants: Literature Review

Lusiana

2020

IJDS

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Shunt implant on hydrocephalus children can affect their quality of life, hence, it necessitates a standard instrument to evaluate the children's quality of life. This literature study provides an effective instrument to evaluate the quality of life of hydrocephalus children with shunt Implants. The findings of this literature study reveal that 10 articles fit the inclusion and exclusion criteria. The article reviews reveal several instruments used to evaluate the quality of life of hydrocephalus children with shunt implants, namely, the HOQ, PedsQL 4.0, OHS, HRQOL, mRS and SLHS questionnaires. Based on the findings the pieces of literature can become the basis for providing and developing interventions to improve the quality of life of hydrocephalus children with shunt implants.

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Quality of life among children who had undergone ventriculoperitoneal shunt surgery

Cited by 18 publications

References 29 publications

Construção e validação de tecnologia cuidativo-educacional para o cuidado de enfermagem à criança com hidrocefalia

Construção e validação de tecnologia cuidativo-educacional para o cuidado de enfermagem à criança com hidrocefalia

Hemimegalencephaly: A Systematic Comparison of Functional and Anatomic Hemispherectomy for Drug-Resistant Epilepsy

Evaluate On The Quality Of Life Of Hydrocephalus Children With Shunt Implants: Literature Review

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