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Child's Nervous System

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01-04-2021 | Hydrocephalus | Original Article

Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus

Authors: Sara Iglesias, Bienvenido Ros, Angela Ros, Antonio Selfa, Jorge Linares, Francisca Rius, Miguel Angel Arráez

Published in: Child's Nervous System | Issue 4/2021

Abstract

Purpose

To assess the functional outcome in school-age children shunted in the neonatal period due to post-hemorrhagic hydrocephalus (PHH), using the HOQ-Spanish version (HOQ-sv), and to analyze predictors of quality of life in this group.

Methods

A cross-sectional study was performed between 2015 and 2018. Parents of pediatric patients with PHH attending our neurosurgery outpatient clinic were invited to complete the HOQ-sv and to enroll in the study. Clinical variables regarding the patients’ neonatal course and surgical outcome were recorded. A descriptive analysis was done, and independent variables related to the HOQ scores were studied in univariate and multivariate analyses with regression trees.

Results

The study comprised a total of 52 patients. The mean overall HOQ score was 0.67 (on a scale from 0 [worse] to 1 [best]). The quality of life for the PHH children at school age was related to perinatal factors (gestational age at birth, time until shunt surgery, length of hospitalization at the time of shunt implantation, and comorbidity), shunt complications (symptomatic overdrainage, number of shunt revisions, and shunt revisions related to infection during the first year after treatment), and clinical background (seizures, spasticity, Gross Motor Function Classification System level or visual impairment).

Conclusion

HOQ dimension scores in school-age children shunted due to PHH in our center were similar to those of referral centers for other etiologies of pediatric hydrocephalus. Future goals should be the prevention of complications related to worse outcomes at the time of diagnosis and to try to improve shunt performance later.

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Title: Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus
Authors: Sara Iglesias
Bienvenido Ros
Angela Ros
Antonio Selfa
Jorge Linares
Francisca Rius
Miguel Angel Arráez
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Hydrocephalus
Hydrocephalus
Hydrocephalus
Published in: Child's Nervous System / Issue 4/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-020-04945-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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