Clinical abnormalities, intervention program, and school attendance of Down syndrome children in southern Thailand.

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dc.contributor.authorJaruratanasirikul, Somchiten_US
dc.contributor.authorSoponthammarak, Somkiaten_US
dc.contributor.authorChanvitan, Prasinen_US
dc.contributor.authorLimprasert, Pornproten_US
dc.contributor.authorSriplung, Hutchaen_US
dc.contributor.authorLeelasamran, Wipawanen_US
dc.contributor.authorWinothai, Seesudaen_US
dc.date.accessioned2009-05-27T19:37:14Z
dc.date.available2009-05-27T19:37:14Z
dc.date.issued2004-10-25en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Down syndrome is the most common chromosomal abnormality with an incidence of 1:700 livebirths. In southern Thailand, most Down syndrome patients are referred to Songklanagarind Hospital for surgical, medical treatment and/or stimulation intervention. OBJECTIVE: To study the clinical features and school attendance of Down syndrome children. MATERIAL AND METHOD: A total of 295 Down syndrome children attended Songklanagarind Hospital. The clinical features of Down syndrome, percentage of children receiving the stimulation intervention program, and attending school were studied. RESULTS: Congenital heart disease was found in 38.6%, gastrointestinal anomalies 16.9%, hematologic malignancy 6.1%, and thyroid disorders 11.4%. The mortality rate of Down syndrome children was 13.2%. Most children (65.6%) received the early stimulation, but only 38.9% attended the speech intervention program within the first 2 years of life. Of the total 109 Down syndrome children aged over 5 years that are still being followed, only 74 (67.9%) attended school. The school attendance was correlated with the family income, but not correlated with the level of maternal or paternal education. CONCLUSION : Congenital heart disease and gastrointestinal anomalies are commonly found in Down syndrome children. Most children received an early intervention program, but only 38.9% received speech intervention. In children aged >5 years, only 68% attended school, and school attendance was correlated with the family income.en_US
dc.description.affiliationDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand. jsomchit@ratree.psu.ac.then_US
dc.identifier.citationJaruratanasirikul S, Soponthammarak S, Chanvitan P, Limprasert P, Sriplung H, Leelasamran W, Winothai S. Clinical abnormalities, intervention program, and school attendance of Down syndrome children in southern Thailand. Journal of the Medical Association of Thailand. 2004 Oct; 87(10): 1199-204en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/41474
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshDown Syndrome --complicationsen_US
dc.subject.meshEarly Intervention (Education)en_US
dc.subject.meshEducation, Specialen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshSpeech Therapyen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleClinical abnormalities, intervention program, and school attendance of Down syndrome children in southern Thailand.en_US
dc.typeJournal Articleen_US
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