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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249

Abstract

MORAES CASTRO, M et al. Mortalidad y enfermedades asociadas al síndrome de Down en el primer año de vida: Experiencia de la Policlínica Interdisciplinaria de Atención al Niño con Síndrome de Down del Servicio de Recién Nacidos del Centro Hospitalario Pereira Rossell. Arch. Pediatr. Urug. [online]. 2007, vol.78, n.3, pp.204-208. ISSN 1688-1249.

Introduction: an Interdisciplinary Center for the Attention of Children with Down syndrome provides services for children until the age of 2. Objective: describe the mortality incidence and the associated diseases during the first year of life in children with Down syndrome. Material and methods: children with Down syndrome born or derived to the Pereira Rossell Neonatology Service from January 7, 2003 until April 30, 2005. Results: 45 children were assisted. 22 mothers (48,9%) were over 35 years old. Only in one case (2,2%) a prenatal diagnosis was done. 8 children died (17,8%). Associated malformations were observed in 36 children (80%). 32 children (71,1%) had congenital heart disease and 11 (34,4%) required surgery. One children (2,2%) had congenital hypothyroidism. From the 37 children alive after one year, eight had hypothyroidism. Conclusions: these children and families multiple problems are confronted in a better way by an interdisciplinary group. This allowed an earlier diagnosis of the different problems. There is a high mortality and a high incidence of cardiac and thyroid problems.

Keywords :  DOWN SYNDROME;  HEARTH DEFECTS, CONGENITAL;  HYPOTHYROIDISM; INFANT MORTALITY;  INFANT, NEWBORN.

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