Journal of Dr. NTR University of Health Sciences

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

Hydrocephalus in pediatric patients: A clinical audit


Rahul Gupta1, Pramila Sharma1, Anu Bhandari2, Vinita Chaturvedi1, Arun K Gupta1, Ramesh C Tanger1, Arvind K Shukla1, Gurudatt Raipuria1, Praveen Mathur1 
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
India

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.


How to cite this article:
Gupta R, Sharma P, Bhandari A, Chaturvedi V, Gupta AK, Tanger RC, Shukla AK, Raipuria G, Mathur P. Hydrocephalus in pediatric patients: A clinical audit.J NTR Univ Health Sci 2021;10:138-143


How to cite this URL:
Gupta R, Sharma P, Bhandari A, Chaturvedi V, Gupta AK, Tanger RC, Shukla AK, Raipuria G, Mathur P. Hydrocephalus in pediatric patients: A clinical audit. J NTR Univ Health Sci [serial online] 2021 [cited 2023 Jan 28 ];10:138-143
Available from: https://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2021;volume=10;issue=3;spage=138;epage=143;aulast=Gupta;type=0