Adherence to Symptom-Based Care Guidelines for Down Syndrome.
To assess adherence to symptom-based studies recommended in the health supervision guidelines for Down syndrome from the American Academy of Pediatrics (AAP), 24 pediatric care sites participated in retrospective chart review. Symptom-based screening and 4 associated recommendations, including cervical spine radiograph, video swallow study, celiac study with tissue transglutaminase and sleep study were analyzed by reviewing well-child visit notes of 264 children with Down syndrome. Given trends toward symptom-based screens, Pearson's chi-square test and Fisher's exact test were used to determine the association between symptom presence and receiving corresponding symptom-based screens. Adherence rates were widely variable ranging from 0% to 79% completion. Symptom-based studies were performed in 22% to 36% of patients. Symptom screens were documented positive in many patients, but the presence of symptoms did not correlate with completion of symptom-based screens. Symptom-based screening is low; associated studies were performed in patients without documented symptoms contrary to AAP recommendation.
1 Nationwide Children's Hospital, Columbus, OH, USA.|2 Ohio State University, Columbus, OH, USA.
Stephanie L
SL
Santoro
1 Nationwide Children's Hospital, Columbus, OH, USA.
Han
H
Yin
3 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.|4 University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Robert J
RJ
Hopkin
D002675:Child, Preschool; D004314:Down Syndrome / Q000175:diagnosis*; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007196:Indiana; D007223:Infant; D007629:Kentucky; D008297:Male; D009820:Ohio; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies
Down syndrome; adherence; health care guidelines; obstructive sleep apnea; sleep study