Ages and Stages Questionnaires: Feasibility of Online Survey for Postshunt Hydrocephalus Follow-Up

IF 0.3 Q4 SURGERY
Hemonta Kr. Dutta, Mauchumi Baruah, Mridusmita Dutta
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引用次数: 0

Abstract

Abstract Objective  Children with hydrocephalus need regular monitoring following shunt surgery. A parent-completed assessment tool was used successfully in follow-up of postshunt hydrocephalus children in the recent pandemic. Methods  The Ages & and Stages Questionnaires (ASQ) was sent via WhatsApp to parents of 40 postventriculoperitoneal (post-VP) shunt hydrocephalus children (7–57 months). Assessment was done by the parents/guardians in five domains over a period of 3 months. The completed questionnaires were analyzed and children with below the cutoff scores were called to the hospital for further evaluations and intervention if necessary. Result  Questionnaires of 25 children were found completed and analyzed. There were 16 males and 18 children had aqueductal stenosis and 11 had meningomyelocele. Eighteen children with failed/borderline (11/7) ASQ scores were called for further evaluation and in all but one the scores obtained by the parents and clinical psychologists were found comparable. Two children needed hospital admissions for shunt revision and adjustment of anticonvulsant medicines. Conclusion  The ASQ could be a useful tool, as parents can conduct the test at home and attend clinics in case of failed or borderline scores for further developmental assessment and/or intervention. This can be used as a routine monitoring tool in other clinical situations as well.
年龄和分期问卷:分流术后脑积水随访在线调查的可行性
摘要目的小儿脑积水分流手术后需要定期监测。在最近的大流行中,家长完成的评估工具成功地用于对分流后脑积水儿童的随访。方法:年龄;通过WhatsApp向40例脑室-腹膜后(vp后)分流脑积水患儿(7-57个月)的家长发送分期问卷(ASQ)。在3个月的时间里,父母/监护人在5个领域进行了评估。对完成的问卷进行分析,分数低于分界点的儿童被叫到医院进行进一步评估,必要时进行干预。结果对25名儿童完成问卷调查并进行分析。男性16例,儿童18例,脑膜脊膜膨出11例。18名ASQ得分不及格/边缘(11/7)的儿童被要求进行进一步的评估,除了一名之外,父母和临床心理学家获得的分数都是可比较的。两名儿童因分流修正和调整抗惊厥药物而入院。结论ASQ可能是一个有用的工具,因为父母可以在家中进行测试,如果得分不及格或处于边缘,则可以到诊所进行进一步的发展评估和/或干预。这也可以作为其他临床情况下的常规监测工具。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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