Guidelines for the medical management of Irish children and adolescents with Down syndrome.

Department of Paediatrics, The National Children's Hospital, AMNCH, Tallaght, Dublin.
Irish medical journal (Impact Factor: 0.51). 03/2005; 98(2):48-52.
Source: PubMed

ABSTRACT Down syndrome (DS) is the most common chromosomal cause of developmental disability in Ireland. Children with DS have a high incidence of associated treatable medical disorders where early intervention carries a better outcome. Currently there are no agreed protocols for the screening and management of children and adults with DS in Ireland. A cross-sectional study of 394 children and adolescents was undertaken in the Eastern Regional Health Authority (ERHA) to assess the medical needs of children and adolescents with DS, in order to develop medical management guidelines. This study provides evidence-based data that children and adolescents with DS have a high incidence of treatable medical disorders, which supports the need for the medical management guidelines presented.

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    ABSTRACT: Communicative interactions provide the foundation for cognitive and social development early in life and continue to impact our behaviors, social patterns, and thoughts throughout our lives. Expressive and receptive exchanges are essential to communication, and hearing is an essential part of all spoken communicative attempts. For individuals who use spoken communication, maximizing auditory ability is imperative. This is especially true for those with Down syndrome as they are susceptible to expressive and receptive communicative difficulties and vulnerable to auditory disorders. Hearing loss can interfere with a child’s ability to develop spoken language and influence subsequent academic and psychosocial development. Even children with mild hearing loss can experience greater academic difficulty than their peers with normal hearing. The early effects of hearing loss on academic and social development can remain throughout adulthood. Though individuals with Down syndrome are prone to hearing loss, the effects can be lessened with accurate and early identification when accompanied by appropriate ongoing medical and audiologic management. It is important for all those involved in the lives of children and adults with Down syndrome to recognize the auditory barriers that are likely to exist and to remain diligent in their efforts to seek ongoing otologic and audiologic care. This review discusses typical development of the human auditory system and what is known about the structure and function of the auditory systems of individuals with Down syndrome. In addition, we describe behavioral and physiologic assessments of auditory sensitivity and conclude with a discussion of hearing technology options for individuals with Down syndrome and hearing loss.
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    ABSTRACT: Background: School-aged children with Down syndrome experience an array of medical conditions and health care problems. Although there have been vast improvements in the medical management of these conditions, they still significantly impact on quality of life for families and children with Down syndrome. However, despite the magnitude of this problem limited literature has described the overall health status of children with Down syndrome.Aim: The purpose of this review was to describe the medical conditions commonly experienced by school-aged children with Down syndrome and to consider the clinical implications of this knowledge.Methods: Electronic searches of Medline, CINAHL, and PsychINFO and manual searches of reference lists identified relevant articles from 1990 to 2009. Studies were included if the topic involved one or more medical comorbidity and participants were children aged 18 years or younger with a diagnosis of Down syndrome. Articles were excluded at the title or abstract level if they were not peer-reviewed, in a language other than English, or did not meet the inclusion criteria. A narrative review of this research was possible.Results: Common medical conditions experienced by school-aged children with Down syndrome include: heart disease; respiratory problems; gastrointestinal disorders; obesity; ophthalmological, ear, and hearing problems; musculoskeletal problems; leukemia and thyroid conditions; frequent infections; and dental disease. Prevalence estimates for these conditions varied depending on the diagnostic criteria or study methodologies.
    01/2010: pages 67-106; Academic Press.
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    ABSTRACT: Downi sündroom (DS) on inimese sagedasim kromosoomihaigus, mis põhjustab vaimse arengu maha - jäämust. Tänu meditsiini arengule elab tänapäeval üle 50% DSiga isikutest kauem kui 50 eluaastat. Samas pole DS-isikuid nende põhidiagnoosi tõttu sageli piisavalt põhjalikult jälgitud: sellele viitab kaudselt meie uuritud DS-isikute väärarendite ja kaasnevate haiguste väiksem sagedus kui teistel autoritel. Käesolev juhend on koostatud publitseeri tud juhendite alusel eesmärgiga anda juhiseid perearstidele ja teistele spetsialistidele ning parandada seega Eestis elavatele DS-isikutele pakutavat meditsiinilist abi. Juhendi on läbi arutanud ja heaks kiitnud Eesti Inimesegeneetika Ühingu ja Eesti Lastearstide Seltsi juhatus.