BMC Pediatrics | |
Epidemiology of respiratory symptoms in children with Down syndrome: a nationwide prospective web-based parent-reported study | |
Esther de Vries1  Roeland WNM van Hout2  Ruud HJ Verstegen3  | |
[1] Department of Pediatrics, Jeroen Bosch Hospital, PO Box 90153 ‘s-Hertogenbosch 5200 ME, The Netherlands;Department of Linguistics, Radboud University, Nijmegen, The Netherlands;Department of Pediatrics, Radboud University Medical Centre, Nijmegen, The Netherlands | |
关键词: Ear-nose-throat; Epidemiology; Respiratory symptoms; Children; Down syndrome; | |
Others : 1138901 DOI : 10.1186/1471-2431-14-103 |
|
received in 2013-07-05, accepted in 2014-03-26, 发布年份 2014 | |
【 摘 要 】
Background
Children with Down syndrome suffer from recurrent respiratory tract and ear-nose-throat complaints that influence daily life. Little is known about the frequency of these complaints, as well as their relation to co-morbidity and ageing.
Methods/design
A prospective web-based parent-reported observational study was designed for parents having a child with Down syndrome (age 0 to 18 years). Upon registration, parents receive an email containing a link to a weekly questionnaire regarding respiratory symptoms during two consecutive years. Additionally, at the beginning, after one year and at the end of the study they receive an extended questionnaire concerning baseline data, daily activities and medical history. The data will be compared to the ongoing “child-is-ill” study, which collects weekly data in an identical fashion in children that are considered to be “normal as to being ill” by their parents.
Discussion
This study will provide important data on the epidemiology of respiratory symptoms in children with Down syndrome, which will be useful for further studies on treatment options. Also, this study will gain insight in healthcare usage and work absence due to the child’s illnesses.
【 授权许可】
2014 Verstegen et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150320162511338.pdf | 162KB | download |
【 参考文献 】
- [1]Weijerman ME, van Furth AM, Vonk Noordegraaf A, van Wouwe JP, Broers CJ, Gemke RJ: Prevalence, neonatal characteristics, and first-year mortality of Down syndrome: a national study. J Pediatr 2008, 152(1):15-19.
- [2]Mohangoo AD, van der Pal-Bruin KM, Buitendijk SE: TNO report on congenital defects in the Netherlands 1997-2008. Leiden: Netherlands Organization for Applied Scientific Research, TNO Quality of Life; 2010.
- [3]Roizen NJ, Patterson D: Down’s syndrome. Lancet 2003, 361(9365):1281-1289.
- [4]Bloemers BL, van Furth AM, Weijerman ME, Gemke RJ, Broers CJ, van den Ende K, Kimpen JL, Strengers JL, Bont LJ: Down syndrome: a novel risk factor for respiratory syncytial virus bronchiolitis–a prospective birth-cohort study. Pediatrics 2007, 120(4):e1076-e1081.
- [5]Hilton JM, Fitzgerald DA, Cooper DM: Respiratory morbidity of hospitalized children with Trisomy 21. J Paediatr Child Health 1999, 35(4):383-386.
- [6]Bloemers BL, van Furth AM, Weijerman ME, Gemke RJ, Broers CJ, Kimpen JL, Bont L: High incidence of recurrent wheeze in children with Down syndrome with and without previous respiratory syncytial virus lower respiratory tract infection. Pediatr Infect Dis J 2010, 29(1):39-42.
- [7]Forni GL, Rasore-Quartino A, Acutis MS, Strigini P: Incidence of bronchial asthma in Down syndrome. J Pediatr 1990, 116(3):487-488.
- [8]Goldacre MJ, Wotton CJ, Seagroatt V, Yeates D: Cancers and immune related diseases associated with down’s syndrome: a record linkage study. Arch Dis Childhood 2004, 89(11):1014-1017.
- [9]Schieve LA, Boulet SL, Boyle C, Rasmussen SA, Schendel D: Health of children 3 to 17 years of age with Down syndrome in the 1997-2005 national health interview survey. Pediatrics 2009, 123(2):e253-e260.
- [10]McDowell KM, Craven DI: Pulmonary complications of Down syndrome during childhood. J Pediatr 2011, 158(2):319-325.
- [11]Weijerman ME, Brand PL, van Furth MA, Broers CJ, Gemke RJ: Recurrent wheeze in children with Down syndrome: is it asthma? Acta Paediatr 2011, 100(11):e194-e197.
- [12]Day SM, Strauss DJ, Shavelle RM, Reynolds RJ: Mortality and causes of death in persons with Down syndrome in California. Dev Med Child Neurol 2005, 47(3):171-176.
- [13]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.
- [14]Verstegen RH, van Gameren-Oosterom HB, Fekkes M, Dusseldorp E, de Vries E, van Wouwe JP: Significant impact of recurrent respiratory tract infections in children with Down syndrome. Child Care Health Dev 2013, 39(6):801-9.
- [15]Maatta T, Maatta J, Tervo-Maatta T, Taanila A, Kaski M, Iivanainen M: Healthcare and guidelines: a population-based survey of recorded medical problems and health surveillance for people with Down syndrome. J Intellect Dev Disabil 2011, 36(2):118-126.
- [16]Selikowitz M: Health problems and health checks in school-aged children with Down syndrome. J Paediatr Child Health 1992, 28(5):383-386.
- [17]Shott SR: Down syndrome: common otolaryngologic manifestations. Am J Med Genet Part C Semin Med Genet 2006, 142C(3):131-140.
- [18]Shott SR, Amin R, Chini B, Heubi C, Hotze S, Akers R: Obstructive sleep apnea: Should all children with Down syndrome be tested? Arch Otolaryngol Head Neck Surg 2006, 132(4):432-436.
- [19]Shott SR, Joseph A, Heithaus D: Hearing loss in children with Down syndrome. Int J Pediatr Otorhinolaryngol 2001, 61(3):199-205.
- [20]Rodman R, Pine HS: The otolaryngologist’s approach to the patient with Down syndrome. Otolaryngol Clin North Am 2012, 45(3):599-629. vii-viii
- [21]Thomas K, Bourke J, Girdler S, Bebbington A, Jacoby P, Leonard H: Variation over time in medical conditions and health service utilization of children with Down syndrome. J Pediatr 2011, 158(2):194-200. e191
- [22]Beebe DW: Neurobehavioral morbidity associated with disordered breathing during sleep in children: a comprehensive review. Sleep 2006, 29(9):1115-1134.
- [23]Mitchell RB, Kelly J: Behavioral changes in children with mild sleep-disordered breathing or obstructive sleep apnea after adenotonsillectomy. Laryngoscope 2007, 117(9):1685-1688.
- [24]Shott SR, Donnelly LF: Cine magnetic resonance imaging: evaluation of persistent airway obstruction after tonsil and adenoidectomy in children with Down syndrome. Laryngoscope 2004, 114(10):1724-1729.
- [25]Statistics Netherlands: ICT use by households in the Netherlands. 2014. http://statline.cbs.nl/StatWeb/publication/?VW=T&DM=SLNL&PA=71102ned&D1=0-3 webcite,30-34&D2=0-10&D3=0,l&HD=131208-1743&HDR=G2,T&STB=G1