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Temporal trends in ...
Temporal trends in paediatric hydrocephalus : Rising prematurity and persistent ophthalmological challenges
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- Wrede, Alexandra U. C., 1996- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Ophthalmology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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- Mastrouk, Farah (author)
- Department of Ophthalmology, Halland Hospital, Halmstad, Sweden
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- Björkander, Nina R. (author)
- Department of Paediatrics, Institute of Clinical Sciences, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Andersson, Susann, 1965 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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- Andersson Grönlund, Marita C., 1959- (author)
- Gothenburg University,Göteborgs universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Ophthalmology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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(creator_code:org_t)
- Wiley-Blackwell Publishing Inc. 2024
- 2024
- English.
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In: Acta Paediatrica. - : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 113:7, s. 1653-1663
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https://doi.org/10.1...
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Abstract
Subject headings
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- AIM: To study changes in aetiology, prematurity, comorbidity and ophthalmological outcomes in children with surgically treated hydrocephalus to provide information needed to maintain the best possible healthcare for a fragile and changing population.METHODS: Two population-based cohorts, born two decades apart in Region Västra Götaland Sweden, surgically treated for hydrocephalus at Sahlgrenska University Hospital in Gothenburg were recruited at approximately 10 years of age. The participants were examined according to an ophthalmological protocol, including history taking regarding perceptual visual dysfunction (PVD). Gestational age, aetiology and comorbidities were registered.RESULTS: The 1989-1993 group, comprised 52 children (48% girls; mean age 10, range 7.7-12.8 years), was compared with 24 children, born in 2007-2012 (29% girls; mean age 10, range 7.0-13.8 years). Extreme prematurity (gestational age ≤ 28 weeks) increased over time (p = 0.001). The vast majority of the children showed ophthalmological abnormalities, although motility defects and nystagmus decreased in the latter population. Subnormal visual acuity was associated with extreme prematurity (RR = 4.69; p = 0.030), and PVD with learning disability (RR = 2.44; p = 0.032).CONCLUSION: Paediatric hydrocephalus populations may change with improved healthcare. Since a high percentage shows ophthalmological abnormalities and more children are born extremely preterm, the entirety needs consideration both neurologically and ophthalmologically.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- Aetiology
- hydrocephalus
- ophthalmological abnormalities
- perceptual visual dysfunction
- prematurity
- aetiology
- hydrocephalus
- ophthalmological abnormalities
- perceptual visual dysfunction
- prematurity
Publication and Content Type
- ref (subject category)
- art (subject category)
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