{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:19:36Z","timestamp":1770887976440,"version":"3.50.1"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The objective of this study was to estimate the diagnostic performance (sensitivity, specificity, positive predictive value, and negative predictive value) for recognizing ventriculoperitoneal shunt (VPS) failure in the parents of patients 0\u201318 years of age who attended the hospital\u2019s emergency room (ER). The second objective was to identify the factors associated with the parents\u2019 ability to recognize the shunt blockage (true positives).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A prospective cohort study was conducted between 2021 and 2022 including all patients 0\u201318 years of age who had a VPS and attended the hospital\u2019s ER with symptoms that could correspond to VPS blockage. Parents were interviewed on admission and patients were assessed over time to discover potential VPS malfunction by surgery or follow-up. Consent was obtained from all participants.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Ninety-one patients were surveyed, and 59.3% showed evidence of a confirmed VPS blockage. Parental sensitivity was 66.7%, with a specificity of 21.6%. An association was found between parents who could correctly identify their child\u2019s shunt block and the number of symptoms of shunt failure that the parent could name (OR 2.4, p &lt; 0.05) as well as parents who reported vomiting and headache as symptoms of shunt malfunction (OR 6, p &lt; 0.05). Parents who knew the first and last name of their primary neurosurgeon (OR 3.5, p &lt; 0.05) also had better diagnostic sensitivity.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Parents who are more knowledgeable of their child\u2019s disease, as well as parents who have good communication with their neurosurgeon, were found to have better diagnostic sensitivity.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.1.peds22520","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T16:02:16Z","timestamp":1677859336000},"page":"406-416","source":"Crossref","is-referenced-by-count":3,"title":["Parental sensitivity and specificity to recognize shunt malfunction in their child: a single-center prospective study"],"prefix":"10.3171","volume":"31","author":[{"given":"Amparo","family":"Saenz","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, \"Prof. Dr. Juan P. Garrahan\" Pediatric Hospital, Buenos Aires, Argentina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Cicutti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \"Prof. Dr. Juan P. Garrahan\" Pediatric Hospital, Buenos Aires, Argentina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romina","family":"Arga\u00f1araz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \"Prof. Dr. Juan P. Garrahan\" Pediatric Hospital, Buenos Aires, Argentina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Mantese","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \"Prof. Dr. Juan P. Garrahan\" Pediatric Hospital, Buenos Aires, Argentina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Giunta","sequence":"additional","affiliation":[{"name":"Italian Hospital University Institute, Italian Hospital of Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Fluids Barriers CNS","first-page":"18","article-title":"Pediatric hydrocephalus outcomes: a review","volume":"9","author":"Vinchon M","year":"2012","unstructured":"Vinchon M, Rekate H, Kulkarni AV. Pediatric hydrocephalus outcomes: a review. Fluids Barriers CNS. 2012;9(1):18.22925451"},{"issue":"8","key":"b2","series-title":"Eur J Med Genet","first-page":"359","article-title":"Infantile hydrocephalus: a review of epidemiology, classification and causes","volume":"57","author":"Tully HM","year":"2014","unstructured":"Tully HM, Dobyns WB. 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