2020
DOI: 10.2147/clep.s251637
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<p>The Population Prevalence, Associations of Congenital Heart Defect and Mortality Risk for Down’s Syndrome in South Korea Based on National Health Insurance Service (NHIS) Data</p>

Abstract: Background: In the present study, we estimated the population prevalence, associations of congenital heart defect (CHD) and mortality risk for DS using data from National Health Insurance Service (NHIS) and Rare Diseases Registry (RDR). Methods: We collected data on subjects with DS who were registered in the RDR between 2010 and 2015. To estimate associations of CHD and mortality risk of DS, the data of DS subjects were compared with 1:5 age-and sex-matched controls. Results: In 2015, 2077 individuals with DS… Show more

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Cited by 5 publications
(11 citation statements)
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“…The disease pattern in the whole ID population was similarly in people with DS ( Fig 4 ). Obesity/overweight (25.5%-59.5%) [ 71 , 93 , 94 ], visual impairment including blindness (0.8%-34.9%) [ 94 – 96 ], hearing loss (0.9%-57.4%) [ 88 , 97 103 ], middle ear infection (30.0%-93.0%) [ 97 , 99 , 102 , 104 , 105 ], congenital heart defects (unspecified) (14.1%-79.2%) [ 40 , 43 , 47 , 57 , 59 , 76 , 78 , 96 , 97 , 101 , 105 112 ], cold or influenza (78.7%) [ 99 ], thyroid disorders (1.0%-39.0%) [ 95 , 97 , 96 , 99 , 105 , 107 , 112 , 113 ], common skin diseases (13.0%-23.4%) [ 96 , 113 ], refractive error (14.4%-29.7%) [ 99 ], and lower respiratory tract infection (11.4%-27.0%)[ 97 , 99 ] were common in people with DS ( Fig 4 ). For hearing and visual impairments, the lower prevalence estimates were found for specific hearing [ 98 , 100 , 102 , 104 ] or visual impairments [ 94 , 96 ], ...…”
Section: Resultsmentioning
confidence: 99%
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“…The disease pattern in the whole ID population was similarly in people with DS ( Fig 4 ). Obesity/overweight (25.5%-59.5%) [ 71 , 93 , 94 ], visual impairment including blindness (0.8%-34.9%) [ 94 – 96 ], hearing loss (0.9%-57.4%) [ 88 , 97 103 ], middle ear infection (30.0%-93.0%) [ 97 , 99 , 102 , 104 , 105 ], congenital heart defects (unspecified) (14.1%-79.2%) [ 40 , 43 , 47 , 57 , 59 , 76 , 78 , 96 , 97 , 101 , 105 112 ], cold or influenza (78.7%) [ 99 ], thyroid disorders (1.0%-39.0%) [ 95 , 97 , 96 , 99 , 105 , 107 , 112 , 113 ], common skin diseases (13.0%-23.4%) [ 96 , 113 ], refractive error (14.4%-29.7%) [ 99 ], and lower respiratory tract infection (11.4%-27.0%)[ 97 , 99 ] were common in people with DS ( Fig 4 ). For hearing and visual impairments, the lower prevalence estimates were found for specific hearing [ 98 , 100 , 102 , 104 ] or visual impairments [ 94 , 96 ], ...…”
Section: Resultsmentioning
confidence: 99%
“…The well-established link between DS and congenital malformations was confirmed, especially for congenital heart defects (unspecified) (PR = 47, 95% CI = 44, 49; PR = 108, P<10 -6 ) [ 43 , 78 ]. For specific heart defects, the risk ratios were very high, for example: 1009 (P<10 -6 ) for atrioventricular septal defect in a US infant population [ 78 ]; 850 (95% CI = 171, 1008) in a Norwegian population adjusted for maternal age and birth year [ 43 ]; and 510 (95% CI = 126.7, 999) in a South Korean population adjusted for age and sex [ 59 ]. There was also a significant increased risk of other malformations, such as gastrointestinal defects and congenital cataracts [ 78 ].…”
Section: Resultsmentioning
confidence: 99%
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“…1,4, 18 Meanwhile, in South Korea, the frequencies of ASD were far the most common (28%). 7 Children with severe CHD showed growth retardation during the first year of life. 21 CHD such as atrioventricular septal defect (AVSD) is 1,000-fold higher in DS, leading to high infant mortality in DS patients.…”
Section: Discussionmentioning
confidence: 99%
“…4 CHD mostly presented with septal defects, such as Atrial Septal Defects (ASD) and Ventricular Septal Defects (VSD), followed by PDA. 7 Pulmonary Hypertension, Recurrent upper airway infection, endocrinology alterations, hearing problems, neurological abnormalities such as the early manifestation of Alzheimer's disease, immunological deficiency, and elevated risk of leukemia can also be present in DS children. 8,9 It is also documented that patients with DS are at risk of thyroid hormone abnormalities, with 24%.…”
Section: Introductionmentioning
confidence: 99%