父母诊断儿童的分流系统功能障碍
Katie Herbert1, Alexander Lam1, Aishik Mukherjee1
1Department of Neurosurgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.
概括
父母对孩子们的分流器故障的担忧是非常敏感的,但不是非常具体的. 昏昏欲睡和多种症状表明真正的分流问题,这表明教育计划可以提高家长的意识.
科学领域:
- 神经外科 神经外科
- 儿科医学 儿科医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 关节功能障碍评估在儿科神经外科手术中很常见.
- 父母的担忧是分流评估的一个关键指标.
- 目前,英国没有任何研究评估父母对分流器故障诊断的准确性.
研究的目的:
- 调查父母的分流系统故障诊断的敏感性和特异性.
- 确定影响父母准确诊断的因素.
- 信息教育策略,为父母的孩子与道.
主要方法:
- 在10个月的时间里,对100个涉嫌分流器故障的转诊进行了回顾性审查.
- 评估家长的担忧 (是/不是) 对于特故障的可能性.
- 计算灵敏度,特异性,预测值和准确性;分析相关因素.
主要成果:
- 21%的转介导致了已识别的分流系统故障 (21个案例).
- 家长的评估显示了90.4%的灵敏度和10.1%的特异性.
- 昏昏欲睡和更多的症状与真正的分流器功能障碍相关.
结论:
- 父母诊断的分流故障是高度敏感的,但缺乏具体性.
- 增加的症状和昏昏欲睡与准确的父母识别有关.
- 家长教育计划可以提高对分流器故障迹象的认识.
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