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PICO
Question: Among children with shunted hydrocephalus, how accurately can their parents predict shunt malfunction?
Question type: Diagnosis
Study design: Prospective cohort
Investigators from the University of Alabama and the Children’s Hospital of Alabama sought to evaluate parental ability to predict cerebrospinal fluid (CSF) shunt failure. They prospectively asked the parents of children with CSF shunts for hydrocephalus if they thought the shunt was failing at the time of presentation to the emergency department (ED), neurosurgery clinic, or inpatient neurosurgery consultation service. A diagnosis of shunt malfunction was either confirmed intraoperatively or excluded if the shunt was not revised …
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