Journals / Bağcılar Tıp Bülteni / 2022 / Cilt: 7 - Sayı: 2

Down Syndrome Patients in the Pediatric Emergency Department

Çocuk Acil Serviste Down Sendromlu Hastalar

Pages
124–129
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Pediatric practitioners can be more knowledgeable about cases with DS who are admitted to the emergency department.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The purpose of this study was to evaluate Down syndrome (DS) cases presenting to the pediatric emergency department and to compare them with DS cases with clinical presentations for routine check-ups.
📊
Key Findings & Data:Method: DS patients presenting to the pediatric emergency department of a tertiary hospital between 01.10.2018 and 31.03.2019 (group 1) and DS patients presenting for routine clinical check-ups (group 2) were included in the study.
💡
Conclusion & Impact:Pediatric practitioners can be more knowledgeable about cases with DS who are admitted to the emergency department.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study was to evaluate Down syndrome (DS) cases presenting to the pediatric emergency department and to compare them with DS cases with clinical presentations for routine check-ups. Method: DS patients presenting to the pediatric emergency department of a tertiary hospital between 01.10.2018 and 31.03.2019 (group 1) and DS patients presenting for routine clinical check-ups (group 2) were included in the study. Patients’ demographic data (age and gender), weight, height ad head circumference measurements, and data for general health were examined. Results: Forty-one patients (13 girls, 28 boys) with a mean age of 50.24±48.4 (1-163) months were enrolled in group 1, and 49 cases (17 girls, 32 boys) with a mean age of 52.94±50.1 (1-168) months in group 2. Cases in group 1 had higher rates of heart disease (p=0.004), drug use for heart disease (p=0.038), thyroid disease (0.001), and drug use for thyroid disease (p=0.001) compared to group 2, while engagement in sporting activity was significantly higher among cases in group 2 (p=0.32) than in group 1. There was no difference between the groups in terms of anthropometric measurements. Conclusion: DS cases presenting to the pediatric emergency department differ from DS cases presenting for routine check-ups in terms of general health status and accompanying diseases. Pediatric practitioners can be more knowledgeable about cases with DS who are admitted to the emergency department.

Özet

Amaç: Bu çalışmada çocuk acil servise başvuran Down sendromlu (DS) olguların değerlendirilmesi ve rutin kontrol amacı ile poliklinik başvurusu yapan DS olgularla karşılaştırılması amaçlandı. Yöntem: 01.10.2018-31.03.2019 tarihleri arasında, üçüncü basamak bir üniversite hastanesi çocuk acil servisine herhangi bir nedenle başvuran DS hastalar (grup 1) ile, çocuk polikliniğine rutin kontrol amacıyla başvuran DS hastalar (grup 2) çalışmaya alındı. Hastalara ait demografik veriler (yaş, cinsiyet), ağırlık, boy ve baş çevresi ölçümleri, genel sağlık durumlarına ait veriler incelendi. Grup 1’deki olguların çocuk acil servis başvuru şikayeti, fizik muayene bulguları, laboratuvar tetkikleri, görüntüleme yöntemleri ve hastanın sonlanımı değerlendirildi. Bulgular: Grup 1’de ortalama yaşları 50,24±48,4 (1-163) ay olan 41 olgu (13 kız, 28 erkek), grup 2’de ortalama yaşları 52,94±50,1 (1-168) ay olan 49 olgu (17 kız, 32 erkek) çalışmaya alındı. Grup 1’deki olguların grup 2’ye göre kalp hastalığı (p=0,004), kalp hastalığı için ilaç kullanma (p=0,038), tiroid hastalığı (p=0,001) ve tiroid hastalığı için ilaç kullanma (p=0,001) oranı daha yüksek iken grup 2’deki olguların grup 1’e göre spor yapma (p=0,032) durumu istatistiksel olarak anlamlı yüksek idi. Gruplar arasında antropometrik ölçümler açısından fark yoktu. Sonuç: Dezavantajlı hasta gruplarının genel sağlık durumlarının bilinmesi onlara daha iyi sağlık hizmeti sunumuna imkan verecektir. Çocuk acil servise başvuran DS olgular genel sağlık durumu ve eşlik eden hastalıklar açısından rutin kontrol amaçlı polikliniğe başvuran DS olgulardan farklı özellik sergilemektedir.

🔖

Cite This Article

BUCAK, İ. H., TANRIVERDİ, H., KILIÇ, F. E., AYDIN, H., GEYİK, M. (2022). Down Syndrome Patients in the Pediatric Emergency Department. Bağcılar Tıp Bülteni, Cilt: 7 - Sayı: 2, 124–129. https://ajindex.com/articles/458866

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Summar K, Lee B. Down Syndrome and Other Abnormalities of Chromosome Number. In Nelson Textbook of Pediatrics, Kliegman RM, Stanton BF, St Geme JW, Schor NF, Behrman RE (editors). 19th ed., Philadelphia: Elsevier Saunders, 2011:76
  2. Ram G, Chinen J. Infections and immunodeficiency in Down syndrome. Clin Exp Immunol 2011;164(1):9-16
  3. Pandit C, Fitzgerald DA. Respiratory problems in children with Down syndrome. J Paediatr Child Health 2012;48(3):E147-E152. 4. van Trotsenburg AS, Heymans HS, Tijssen JG, de Vijlder JJ, Vulsma T. Comorbidity, hospitalization, and medication use and their influence on mental and motor development of young infants with Down syndrome. Pediatrics 2006;118(4):1633-1639
  4. Zachor DA, Mroczek-Musulman E, Brown P. Prevalence of celiac disease in Down syndrome in the United States. J Pediatr Gastroenterol Nutr 2000;31(3):275-279
  5. Sánchez-Albisua I, Storm W, Wäscher I, Stern M. How frequent is coeliac disease in Down syndrome? Eur J Pediatr 2002;161(12):683-684
  6. Goldacre M, Wotton CJ, Seagroatt V, Yeates D. Cancers and immune related diseases associated with Down’s syndrome: a record linkage study. Arch Dis Child 2004;89(11):1014-1017
  7. Bunt CW, Bunt SK. Role of the family physician in the care of children with Down syndrome. Am Fam Physician 2014;90(12):851-858
  8. Uppal H, Chandran S, Potluri R. Risk factors for mortality in Down syndrome. J Intellect Disabil Res 2015;59(9):873-881
  9. Yang Q, Rasmussen SA, Friedman JM. Mortality associated with Down's syndrome in the USA from 1983 to 1997: a population-based study. Lancet 2002;359(9311):1019-1025
  10. Joffre C, Lesage F, Bustarret O, Hubert P, Oualha M. Children with Down syndrome: Clinical course and mortality-associated factors in a French medical paediatric intensive care unit. J Paediatr Child Health 2016;52(6):595-599
  11. Lizama Calvo M, Cerda Lorca J, Monge Iriarte M, Carrillo Mayanquer I, Clavería Rodríguez C, Castillo Moya A. [Hospital morbidity and mortality in children with Down's syndrome: Experience in a university hospital in Chile]. Rev Chil Pediatr 2016;87(2):102-109
  12. Tüysüz B, Göknar NT, Oztürk B. Growth charts of Turkish children with Down syndrome. Am J Med Genet A 2012;158A(11):2656-2664
  13. Cooney TP, Thurlbeck WM. Pulmonary hypoplasia in Down's syndrome. N Engl J Med 1982;307(19):1170-1173
  14. Yamaki S, Horiuchi T, Takahashi T. Pulmonary changes in congenital heart disease with Down's syndrome: their significance as a cause of postoperativ