Barriers to Patients' Early Presentation, Diagnosis and Treatment in Childhood Hydrocephalus

Last updated: January 27, 2024
Sponsor: Lagos State University
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Hydrocephalus

Clinical Study ID

NCT05796713
2023/Hydro
  • Ages < 5
  • All Genders

Study Summary

Patient with childhood hydrocephalus (HC) tend to present late in Low medium income countries (LMICs). This project will study the barriers leading to patients' and health system delay in patients with childhood HC. This will be done via a quantitative and qualitative study analysis. The data will be collected prospectively.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • All patients less than 5 years of age with HC confirmed with either magnetic resonanceor computerized tomographic images
  • Patients' parents' inclusion criteria will be parents (Guardians) of children withradiologically confirmed HC with either magnetic resonance or computerized tomographicimages.
  • Hospital staff members, who have been working within the Neurosurgical unit for atleast 5 years.

Exclusion

Exclusion Criteria:

  • All patents not investigated or operated at our centre
  • Patients older than 5 years

Study Design

Total Participants: 90
Treatment Group(s): 1
Primary Treatment: Hydrocephalus
Phase:
Study Start date:
March 01, 2023
Estimated Completion Date:
January 27, 2024

Study Description

Children less than 5 years of age with HC confirmed with either magnetic resonance or computerized tomographic images will be recruited. In addition, Hospital staff members, who have been working within the Neurosurgical unit for at least 5 years will be interviewed.

The patients' data that will be collected will include gender, age at presentation, socioeconomic class of parents (or guardians), religion, referral source, presenting complaint with its duration, physical findings, ventricular diameter. The Pre-presentation symptoms interval (PPI) will be defined as the number of days between the onset of symptoms and first presentation at any type of healthcare service centre (including primary healthcare centre, secondary health institutions); Presentation Interval (PI)- Number of days from symptoms to presenting at Neurosurgical centre; Pre-diagnostic interval (PDI) will be defined as the interval in days between symptoms and completion of pre-operative investigations. Patient interval (PI) will be defined as the number of days from the onset of symptoms and patient's first contact with the Neurosurgical center. Hospital interval (HI)- number of days from completion of investigations to surgical intervention. The collected data will be analyzed according to qualitative conventional content analysis. Nvivo software version 13 and Statistical Product and Service Solutions (SPSS) version 23 will be used for data analysis.

Connect with a study center

  • Lagos State University Teaching Hospital

    Ikeja, Lagos 20001
    Nigeria

    Active - Recruiting

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