Medical conditions of children and young people with Down syndrome.


Journal

Journal of intellectual disability research : JIDR
ISSN: 1365-2788
Titre abrégé: J Intellect Disabil Res
Pays: England
ID NLM: 9206090

Informations de publication

Date de publication:
02 2021
Historique:
received: 29 04 2020
revised: 29 09 2020
accepted: 21 11 2020
pubmed: 12 1 2021
medline: 15 12 2021
entrez: 11 1 2021
Statut: ppublish

Résumé

The life expectancy of people with Down syndrome (DS) has significantly increased in the last decades. We describe the congenital malformations and main comorbidities of a cohort of children and young people with DS and analyse their differences according to age and gender groups. This retrospective cross-sectional study was conducted at DS centre of Bambino Gesù Children's Hospital in Rome (Italy). The period for reviewing all electronic health records ran from July 2016 to September 2017. We collected data on clinical conditions and compared them with the general paediatric population. Moreover, we compared the main comorbidities, dental diseases and body mass index data between age groups. Seven hundred sixty-three children and young people with DS included in this study were aged 7.45 ± 5.49 years. Gender distribution included 58.19% male patients. The majority of our population (71.04%) came from central regions of Italy. Respiratory diseases (19%), congenital heart defects (72.23%), malocclusions (58.62%), astigmatism (20.31%), farsightedness (16.51%), near-sightedness (12.19%) and autoimmune hypothyroidism (3.28%) were more frequent in our population compared with the typical paediatric population. Upper respiratory tract infections and underweight were significantly more frequent in the youngest children, whereas dental diseases, refractive errors, obesity and autoimmune hypothyroidism increased over age. Children and young people with DS present a high prevalence of potentially treatable medical conditions making multidisciplinary teams a mandatory need for this population.

Sections du résumé

BACKGROUND
The life expectancy of people with Down syndrome (DS) has significantly increased in the last decades. We describe the congenital malformations and main comorbidities of a cohort of children and young people with DS and analyse their differences according to age and gender groups.
METHODS
This retrospective cross-sectional study was conducted at DS centre of Bambino Gesù Children's Hospital in Rome (Italy). The period for reviewing all electronic health records ran from July 2016 to September 2017. We collected data on clinical conditions and compared them with the general paediatric population. Moreover, we compared the main comorbidities, dental diseases and body mass index data between age groups.
RESULTS
Seven hundred sixty-three children and young people with DS included in this study were aged 7.45 ± 5.49 years. Gender distribution included 58.19% male patients. The majority of our population (71.04%) came from central regions of Italy. Respiratory diseases (19%), congenital heart defects (72.23%), malocclusions (58.62%), astigmatism (20.31%), farsightedness (16.51%), near-sightedness (12.19%) and autoimmune hypothyroidism (3.28%) were more frequent in our population compared with the typical paediatric population. Upper respiratory tract infections and underweight were significantly more frequent in the youngest children, whereas dental diseases, refractive errors, obesity and autoimmune hypothyroidism increased over age.
CONCLUSIONS
Children and young people with DS present a high prevalence of potentially treatable medical conditions making multidisciplinary teams a mandatory need for this population.

Identifiants

pubmed: 33426738
doi: 10.1111/jir.12804
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

199-209

Informations de copyright

© 2021 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

Références

Abdul Rahim F. S., Mohamed A. M., Nor M. M. & Saub R. (2014) Malocclusion and orthodontic treatment need evaluated among subjects with Down syndrome using the Dental Aesthetic Index (DAI). The Angle Orthodontist 84, 600-606.
Aburawi E. H., Nagelkerke N., Deeb A., Abdulla S. & Abdulrazzaq Y. M. (2015) National growth charts for United Arab Emirates children with Down syndrome from birth to 15 years of age. Journal of Epidemiology 25, 20-29.
Agrawal R., Shah P., Zebracki K., Sanabria K., Kohrman C. & Kohrman A. F. (2013) The capacity of primary care pediatricians to care for children with special health care needs. Clinical Pediatrics (Phila) 52, 310-314.
Allareddy V., Ching N., Macklin E. A., Voelz L., Weintraub G., Davidson E. et al. (2016) Craniofacial features as assessed by lateral cephalometric measurements in children with Down syndrome. Progress in Orthodontics 17, 1-12, 35.
Baban A., Olivini N., Cantarutti N., Calì F., Vitello C., Valentini D. et al. (2020) Differences in morbidity and mortality in Down syndrome are related to the type of congenital heart defect. American Journal of Medical Genetics Part A 182, 1342-1350.
Beck S. & Marcus C. L. (2009) Pediatric polysomnography. Sleep Medicine Clinics 4, 393-406.
Bloemers B. L., Broers C. J., Bont L., Weijerman M. E., Gemke R. J. & van Furth A. M. (2010) Increased risk of respiratory tract infections in children with Down syndrome: the consequence of an altered immune system. Microbes and Infection 12, 799-808.
Bull M. J. & the Committee on Genetics (2011) Clinical report-health supervision for children with Down syndrome. Pediatrics 128, 393-405.
Carsetti R., Valentini D., Marcellini V., Scarsella M., Marasco E., Giustini F. et al. (2015) Reduced numbers of switched memory B cells with high terminal differentiation potential in Down syndrome. European Journal of Immunology 45, 903-914.
Chew G. & Hutson J. M. (2004) Incidence of cryptorchidism and ascending testes in trisomy 21: a 10 year retrospective review. Pediatric Surgery International 20, 744-747.
Cianetti S., Lombardo G., Lupatelli E., Rossi G., Abraha I., Pagano S. et al. (2017) Dental caries, parents educational level, family income and dental service attendance among children in Italy. European Journal of Paediatric Dentistry 18, 15-18.
Cocchi G., Gualdi S., Bower C., Halliday J., Jonsson B., Myrelid A. et al. (2010) International trends of Down syndrome 1993-2004: births in relation to maternal age and terminations of pregnancies. Birth Defects Research Part A: Clinical and Molecular Teratology 88, 474-479.
de Graaf G., Buckley F. & Skotko B. G. (2017) Estimation of the number of people with Down syndrome in the United States. Genetics in Medicine 19, 439-447.
de Vries L., Bulvik S. & Phillip M. (2009) Chronic autoimmune thyroiditis in children and adolescents: at presentation and during long-term follow-up. Archives of Disease in Childhood 94, 33-37.
Doriguêtto P. V. T., Carrada C. F., Scalioni F. A. R., Abreu L. G., Devito K. L., Paiva S. M. et al. (2019) Malocclusion in children and adolescents with Down syndrome: a systematic review and meta-analysis. International Journal of Paediatric Dentistry 29, 524-541.
Fergeson M. A., Mulvihill J. J., Schaefer G. B., Dehaai K. A., Piatt J., Combs K. et al. (2009) Low adherence to national guidelines for thyroid screening in Down syndrome. Genetics in Medicine 11, 548-551.
Freeman S. B., Bean L. H., Allen E. G., Tinker S. W., Locke A. E., Druschel C. et al. (2008) Ethnicity, sex, and the incidence of congenital heart defects: a report from the National Down Syndrome Project. Genetics in Medicine 10, 173-180.
Frid C., Anneren G., Rasmussen F., Sundelin C. & Drott P. (2002) Utilization of medical care among children with Down's syndrome. Journal of Intellectual Disability Research 46, 310-317.
Hassan H., Akbar F., Abbasali Y., Reza P., Hadi O. & Mehdi K. (2017) Global and regional estimates of prevalence of refractive errors: systematic review and meta-analysis. Journal of Current Ophthalmology 30, 3-22.
Hill D. A., Gridley G., Cnattingius S., Mellemkjaer L., Linet M., Adami H. O. et al. (2003) Mortality and cancer incidence among individuals with Down syndrome. Archives of Internal Medicine 163, 705-711.
Irving C. A. & Chaudhari M. P. (2012) Cardiovascular abnormalities in Down's syndrome: spectrum, management and survival over 22 years. Archives of Disease in Childhood 97, 326-330.
Kumar P., Panigrahi I., Sankhyan N., Ahuja C. & Goyadi P. K. (2018) Down Syndrome with moyamoya disease: a case series. Journal of Pediatric Neurosciences 13, 201-204.
Lee C. F., Lee C. H., Hsueh W. Y., Lin M. T. & Kang K. T. (2018) Prevalence of obstructive sleep apnea in children with Down syndrome: a meta-analysis. Journal of Clinical Sleep Medicine 14, 867-875.
Lewis E. & Kritzinger A. (2004) Parental experiences of feeding problems in their infants with Down syndrome. Down's Syndrome, Research and Practice 9, 45-52.
López-Pérez R., Borges-Yáñez S. A., Jiménez-García G. & Maupomé G. (2002) Oral hygiene, gingivitis, and periodontitis in persons with Down syndrome. Special Care in Dentistry 22, 214-220.
Macho V., Palha M., Macedo A. P., Ribeiro O. & Andrade C. (2013) Comparative study between dental caries prevalence of Down syndrome children and their siblings. Special Care in Dentistry 33, 2-7.
Marques L. S., Alcântara C. E. P., Pereira L. J. & Ramos-Jorge M. L. (2015) Down syndrome: a risk factor for malocclusion severity? Brazilian Oral Research 29, 1-7.
Mastroiacovo P, Diociaiuti L, Rosano A, Di Tanna GL. (2002) Epidemiology of Down syndrome in the third millennium. Atti del Congresso “L'adulto con sindrome di Down. Una nuova sfida per la società” San Marino.
Paudel N., Leat S. J., Adhikari P., Woodhouse J. M. & Shrestha J. B. (2010) Visual defects in Nepalese children with Down syndrome. Clinical and Experimental Optometry 93, 83-90.
Ram G. & Chinen J. (2011) Infections and immunodeficiency in Down syndrome. Clinical and Experimental Immunology 164, 9-16.
Ravel A., Mircher C., Rebillat A. S., Cieuta-Walti C. & Megarbane A. (2020) Feeding problems and gastrointestinal diseases in Down syndrome. Archives de Pédiatrie 27, 53-60.
Reller M. D., Strickland M. J., Riehle-Colarusso T., Mahle W. T. & Correa A. (2008) Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. The Journal of Pediatrics. 153, 807-813.
Sakellari D., Arapostathis K. N. & Konstantinidis A. (2005) Periodontal conditions and subgingival microflora in Down syndrome patients. A case-control study. Journal of Clinical Periodontology 32, 684-690.
Sarkar S. & Seshadri D. (2014) Conducting record review studies in clinical practice. Journal of Clinical and Diagnostic Research 8, JG01-JG04.
Schieve L., Boulet S., Boyle C., Rasmussen S. & Schendel D. (2009) Health of children 3 to 17 years of age with Down syndrome in the 1997-2005 National Health Interview Survey. Pediatrics 123, e253-e260.
Schwertner C., Moreira M. J., Faccini L. S. & Hashizume L. N. (2016) Biochemical composition of the saliva and dental biofilm of children with Down syndrome. International Journal of Paediatric Dentistry 26, 134-140.
Selikowitz M. (1992) Health problems and health checks in school-aged children with Down syndrome. Journal of Paediatrics and Child Health 28, 383-386.
Shangpliang D., Dey B., Das J., Baishya P., Raphael V. & Khonglah Y. (2020) Down syndrome presenting with different hematological manifestations: a case series of four cases. Journal of Family Medicine and Primary Care 9, 2569-2572.
Skotko B. G., Davidson E. J. & Weintraub G. S. (2013) Contributions of a specialty clinic for children and adolescents with Down syndrome. American Journal of Medical Genetics Part A 161A, 430-437.
Stephen E., Dickson J., Kindley A. D., Scott C. C. & Charleton P. M. (2007) Surveillance of vision and ocular disorders in children with Down syndrome. Developmental Medicine and Child Neurology 49, 513-515.
Turner S., Sloper P., Cunningham C. & Knussen C. (1990) Health problems in children with Down's syndrome. Child: Care, Health and Development 16, 83-97.
Valentini D., Marcellini V., Bianchi S., Villani A., Facchini M., Donatelli I. et al. (2015) Generation of switched memory B cells in response to vaccination in Down syndrome children and their siblings. Vaccine 33, 6689-6696.
Weijerman M. E. & De Winter J. P. (2010) Clinical practice: the care of children with Down syndrome. European Journal of Pediatrics 169, 1445-1452.
Woodhouse J. M., Pakeman V. H., Cregg M., Saunders K. J., Parker M., Fraser W. I. et al. (1997) Refractive errors in young children with Down syndrome. Optometry and Vision Science 74, 844-851.

Auteurs

D Valentini (D)

Pediatric Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

C Di Camillo (C)

Pediatric Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

N Mirante (N)

Pediatric Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

G Vallogini (G)

Unit of Dentistry, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

N Olivini (N)

European Reference Network for Rare, Low Prevalence and Complex Diseases of the Heart - ERN GUARD-Heart HCP, Pediatric Cardiology and Arrhythmia/Syncope Units, Bambino Gesù Children Hospital-IRCCS, Rome, Italy.

A Baban (A)

European Reference Network for Rare, Low Prevalence and Complex Diseases of the Heart - ERN GUARD-Heart HCP, Pediatric Cardiology and Arrhythmia/Syncope Units, Bambino Gesù Children Hospital-IRCCS, Rome, Italy.

L Buzzonetti (L)

Department of Ophthalmology, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

A Galeotti (A)

Unit of Dentistry, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

M Raponi (M)

Medical Directorate, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

A Villani (A)

Pediatric Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

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