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Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 138-143

Hydrocephalus in pediatric patients: A clinical audit

1 Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Rahul Gupta
Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdrntruhs.jdrntruhs_177_20

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Background: Ventriculoperitoneal (VP) shunt surgery is the most common procedure for treatment of hydrocephalus. The clinical outcomes of hydrocephalus patients following VP shunt surgery should be periodically appraised. Aims: To analyze and perform a clinical audit of management of hydrocephalus patients according to the standards of quality care; suggest interventions to make further improvements. Material and Methods: A retrospective study performed from January 2016 to December 2016. Pediatric patients with hydrocephalus who had undergone VP shunt surgery and those presenting with its complications were studied. Results: There were 142 pediatric patients with 103 males and 39 females (M:F = 2.64: 1). Age ranged from 1 day (youngest) to 12 years (oldest); 47.89% (68) of the patients were between ≥1 to <6 months. Out of 142, 72.54% (103) were new admissions and 27.46% (39) were admitted for shunt related complications. Congenital malformations were the most common (59.86%) reasons for admission. Meningomyelocele and Encephalocele were the most common (2.11%) major associated malformations. In 72.54% (103) patient's new VP shunt placement was performed, while in 8.45% (12) cases, complete revision by shunt placement on left side was performed. Low pressure type of VP shunt was the most common (77.39%) procedure. Conclusions: Approximately one fourth (27.46%) of the procedures performed for patients with hydrocephalus were for shunt related complications. Clinical audit helps to identify the complications and lacunae, develop effective methods for improvement in patient care. It gives an impetus to decrease the complications associated with it. We recommend a yearly clinical audit of pediatric patients managed with VP shunt surgery.

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