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- W2997683088 abstract "Lumbar puncture (LP) is a medical procedure performed to access cerebrospinal fluid (CSF) in order to make diagnoses of neurological diseases. However, in Zambia a myth exists that LP is lethal and consent for LP must be withheld. The impact of this myth on patient well-being has been poorly studied in a hospital setting in Zambia. From October 2018 to April 2019, a clinical registry was created to capture clinical, demographic and outcome data for patients admitted to the neurology inpatient service at University Teaching Hospitals-Adult Hospital (UTH-AH) in Lusaka, Zambia. For this study, all patients with non-stroke diagnoses were stratified by diagnostic category into those with strong indications for LP and those with less strong/no indication for LP. Rates for lumbar puncture acceptance (LPA) were calculated for each category. A total of 276 patients with non-stroke diagnoses were captured from the clinical registry. Of these, 203 had strong indications for LP and 73 had less strong/no indications for LP with LPA rates of 24% and 16% respectively. There was no significant difference in LPA rates between these two groups (P value = 0.30). Rates of LPA among patients presenting with strong indications for the procedure at UTH-AH are low and are not significantly different from rates for conditions with less strong/no indications. Declining an LP when one is strongly indicated likely places patients at high risk of poor outcomes as these life-threatening conditions are better managed when etiology is established through CSF studies." @default.
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- W2997683088 date "2019-10-01" @default.
- W2997683088 modified "2023-09-26" @default.
- W2997683088 title "An observational study to establish the acceptance rates of lumbar puncture among patients with non-stroke neurological diseases at University Teaching Hospitals-Adult Hospital in Lusaka, Zambia" @default.
- W2997683088 doi "https://doi.org/10.1016/j.jns.2019.10.238" @default.
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