Prospective evaluation and outcome of patients admitted for syncope over a 1 year period

Prospective evaluation and outcome of patients admitted for syncope over a 1 year period
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DOI:
10.1053/euhj.2001.2975
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发表时间:
2002-05-01
影响因子:
39.3
通讯作者:
Mansourati, J
Mansourati, J
中科院分区:
医学1区
文献类型:
--
作者:
Blanc, JJ;L'Her, C;Mansourati, J

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晕厥是一种常见且具有潜在危险的症状。流行病学数据主要是基于20年前在美国收集的系列,并没有充分协助管理的病人承认现在为这种症状在European.Methods和结果前瞻性地评估流行病学方面和管理的病人承认在急诊科的成人大学医院的'验证'晕厥,由一名心脏病科工作人员系统地审查了1999年6月至2000年6月期间连续入院的所有患者的图表。选择意识丧失的患者,明确晕厥的患者纳入研究组,并随访至出院。在急诊科就诊的37475例患者中,454例(1.21%)有明确的晕厥。296例为首次发作,169例(平均年龄43 ± 23岁)立即出院,285例(平均年龄66 ± 19岁:P
Aims Syncope is a frequent and potentially dangerous symptom. The epidemiological data are based on series mainly collected 20 years ago in the U.S.A. and do not adequately assist in the management of patients admitted now for this symptom in Europe.Methods and Results To evaluate prospectively the epidemiological aspects and the management of the patients admitted in the emergency department of an adult university hospital for a 'verified' syncope, charts of all the patients consecutively admitted between June 1999 and June 2000 were systematically reviewed by a member of the cardiology staff. Those with a loss of consciousness were selected and those with a definite syncope were included in the study group and followed until they were discharged from the hospital. Among the 37475 patients who presented to the emergency department, 454 (1.21%) had a definite syncope. For 296 it was the first episode and 169 (mean age 43 +/- 23 years) were discharged straight away; 285 (mean age 66 +/- 19 years: P