Manejo clínico da Síndrome de Down na atenção primária: avanços e desafios
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Resumo
Objetivo: Analisar os avanços e desafios no manejo clínico de pessoas com Síndrome de Down na atenção primária à saúde. Métodos: Revisão integrativa da literatura, com triagem inicial de 92 artigos nas bases PubMed, BVS e SciELO. Após aplicação de filtros e critérios de elegibilidade, foram incluídos 14 estudos publicados entre 2015 e 2025. A seleção seguiu as diretrizes PRISMA e considerou abordagens metodológicas quantitativas, qualitativas e mistas, com ênfase em experiências na atenção primária. Resultados: Os achados apontam para avanços como a adoção de diretrizes clínicas voltadas para adultos com SD, integração de prontuários eletrônicos e uso de aplicativos de coordenação de cuidados. Destacam-se também experiências de clínicas de transição e programas com impacto na redução de hospitalizações. No entanto, persistem entraves como baixa adesão às diretrizes, formação deficiente das equipes e ausência de fluxos estruturados para a transição assistencial. Considerações finais: O fortalecimento do manejo na APS exige capacitação, protocolos padronizados e soluções tecnológicas adaptadas. Há lacunas relevantes na produção científica nacional.
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