Gnanambigai Kalaimani, Sivapathasundharam B, Rajeswari M Chockalingam, Prem Karthick
Evaluation of Knowledge, Attitude, and Practice (KAP) of Artificial Intelligence Among Dentists and Dental Students: A Cross-Sectional Online Survey
Cureus
objective infant hydrocephalus estimated affect 100000 new infants year subsaharan africa ssa bugando medical centre bmc governmentfunded patient costshared referral center serves 13 million people lake western regions tanzania goals study characterize infant population affected hydrocephalus presented bmc treated ventriculoperitoneal shunt vps determine rate early complications associated surgical procedure assess potential risk factors methods data prospectively collected patients less 1 year age period 7 months diagnosed hydrocephalus admitted bmc insertion primary vps demographic data maternal history preoperative studies surgical procedure surgical complications developing time first followup visit analyzed risk factors associated surgical complications determined results 7month study period 125 infants eligible study included analysis overall 75 younger 6 months age 56 males 7 mothers gestational ultrasound 98 receive preconception folic acid 25 delivered child home patients hydrocephalus etiology uncertain 56 patients postinfectious 224 myelomeningoceleassociated 16 hydrocephalus patients mean head circumference admission 514 63 cm median age shunt surgery 137 days 224 patients operated without undergone radiological assessment majority shunts placed right parietooccipital location thirteen patients undergone previous intraventricular endoscopic procedure overall least one surgical complication found 336 patients first followup assessment median followup time 70 days shunt infection common complication postoperative mortality rate 9 risk factors associated early surgical complications tumorrelated etiology larger head circumference postoperative hospital stays greater duration conclusions region continent infant hydrocephalus cases uncertain etiology patients presented hospital late stage prenatal diagnosis large head circumferences standard preoperative investigations uniformly performed surgical complications led vps infection disturbingly high younger patient age previous endoscopic procedure surgeon involved cranial location vps statistical relation surgical complications study shows positive results previously reported ssa mission hospitals subspecialized pediatric neurosurgery still generalizable every hospital east africa improve maternal neonatal care lake region tanzania development fluxogram determine hydrocephalus etiology strict perioperative protocol vps insertion increase number endoscopic procedures recommended bmc