Pediatric Division, Hadassah Hebrew University Medical Center , Jerusalem , Israel.
Department of Ophthalmology, Hillel Yaffe Medical Center , Hadera , Israel.
Front Public Health. 2014 Mar 20;2:22. doi: 10.3389/fpubh.2014.00022. eCollection 2014.
Children with Down syndrome present with multiple medical problems in a higher prevalence compared with the general population, which may lead to hospitalizations.
Analysis of 560 hospitalizations of 162 children aged 0-16 years with Down syndrome at Hadassah Medical Center during the years 1988-2007 compared with data on children in the general population, hospitalized at the same period. Data was collected from patient files and statistical data from the Ministry of Health.
Respiratory infections were the leading cause for hospitalization of children with Down syndrome. The number of hospitalizations of children with Down syndrome compared to the number of all children, who were hospitalized was surprisingly similar to their proportion in the general population. Eleven children died during their hospitalization (five heart failure, three sepsis, one respiratory tract infection, and one due to complication after surgery). Nine of the 11 had a congenital heart anomaly.
Children with Down syndrome can present with complex medical issues and we support the concept of a multidisciplinary team that has experience and knowledge to serve as a "one stop shop" for these individuals and their families, with timely visits in which a comprehensive evaluation is performed, problems attended to and prevention plans applied. In this way, we may prevent morbidity, hospitalizations, and mortality.
唐氏综合征患儿比普通人群更易出现多种高发的医疗问题，从而导致住院治疗。
分析 1988 年至 2007 年期间，哈达萨医疗中心 162 名 0-16 岁唐氏综合征患儿的 560 例住院治疗情况，并与同期普通人群患儿的住院数据进行比较。数据来自患者病历和卫生部的统计数据。
呼吸道感染是唐氏综合征患儿住院的主要原因。唐氏综合征患儿的住院人数与所有住院患儿的比例惊人地相似，与他们在普通人群中的比例相符。在住院期间有 11 名儿童死亡（5 例心力衰竭，3 例败血症，1 例呼吸道感染，1 例因手术后并发症）。其中 9 例有先天性心脏异常。
唐氏综合征患儿可能会出现复杂的医疗问题，我们支持多学科团队的理念，该团队拥有为这些个体及其家庭提供“一站式服务”的经验和知识，定期进行全面评估，解决问题并制定预防计划。通过这种方式，我们可以预防发病率、住院率和死亡率。
