IR@PKUHSC  > 北京大学第一临床医学院  > 儿科
学科主题临床医学
The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study
Zhang, Qingyou1; Du, Junbao1,2; Wang, Cheng3; Du, Zhongdong4; Wang, Li5; Tang, Chaoshu2,5
关键词Adolescents Children Diagnostic Protocol Syncope
刊名ACTA PAEDIATRICA
2009-05-01
DOI10.1111/j.1651-2227.2008.01195.x
98期:5页:879-884
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Pediatrics
资助者National Tenth Five-year Plan Research Project of China ; 973 Project ; Changjiang Schoolar Program of China ; Capital Medical Development Science Project ; National Tenth Five-year Plan Research Project of China ; 973 Project ; Changjiang Schoolar Program of China ; Capital Medical Development Science Project
研究领域[WOS]Pediatrics
关键词[WOS]UNEXPLAINED SYNCOPE ; CLINICAL CHARACTERISTICS ; GENERAL HOSPITALS ; OF-CARDIOLOGY ; MANAGEMENT ; ECHOCARDIOGRAPHY ; ASSOCIATION ; PREVALENCE ; SOCIETY ; TESTS
英文摘要

Aim: The appropriate diagnostic protocol for children with syncope has not been well established. A diagnostic protocol was developed and prospectively implemented to improve the diagnostic performance of paediatricians.

Methods: The study population included 474 consecutive patients (range 6-17 years) presenting with a syncopal spell in one of the five participating hospitals of China. In step 1, all patients underwent initial evaluation for history, physical examination, standing test and standard electrocardiography (ECG). In step 2, priority was given to cardiographic tests for possibly cardiogenic syncope, or electroencephalographic examination and brain imaging for suspected neurological syncope, or psychiatric tests for suspected psychiatric syncope. Patients with unexplained syncope underwent head-up tilt testing (HUT).

Results: The initial evaluation gave a definite diagnosis in 59 (12.4%) and possible diagnosis in 54 of the 474 patients. Further testing gave a definite diagnosis for 326 patients (69.7%). After the entire diagnostic protocol, definite diagnosis was established in 385 patients (81.1%). Autonomic-mediated reflex syncope (AMS) accounted for 73.0% of cases. The average cost of diagnostic results per patient was RMB 1030.24 +/- 150.09 ($118.42 +/- 17.25).

Conclusion: The use of a simplified diagnostic protocol for children and adolescents with syncope improves diagnostic yield.

语种英语
所属项目编号2004BA720A10 ; 2006CB503807
资助者National Tenth Five-year Plan Research Project of China ; 973 Project ; Changjiang Schoolar Program of China ; Capital Medical Development Science Project ; National Tenth Five-year Plan Research Project of China ; 973 Project ; Changjiang Schoolar Program of China ; Capital Medical Development Science Project
WOS记录号WOS:000264878100023
引用统计
被引频次:31[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57204
专题北京大学第一临床医学院_儿科
作者单位1.Minist Educ, Key Lab Mol Cardiol, Beijing, Peoples R China
2.Peking Univ, Hosp 1, Dept Pediat, Beijing 100034, Peoples R China
3.Zhongnan Univ, Xiangya Hosp 2, Dept Pediat, Changsha, Hunan, Peoples R China
4.Capital Med Univ, Beijing Childrens Hosp, Dept Cardiol, Beijing, Peoples R China
5.Peking Univ, Hlth Sci Ctr, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Zhang, Qingyou,Du, Junbao,Wang, Cheng,et al. The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study[J]. ACTA PAEDIATRICA,2009,98(5):879-884.
APA Zhang, Qingyou,Du, Junbao,Wang, Cheng,Du, Zhongdong,Wang, Li,&Tang, Chaoshu.(2009).The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study.ACTA PAEDIATRICA,98(5),879-884.
MLA Zhang, Qingyou,et al."The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study".ACTA PAEDIATRICA 98.5(2009):879-884.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Zhang, Qingyou]的文章
[Du, Junbao]的文章
[Wang, Cheng]的文章
百度学术
百度学术中相似的文章
[Zhang, Qingyou]的文章
[Du, Junbao]的文章
[Wang, Cheng]的文章
必应学术
必应学术中相似的文章
[Zhang, Qingyou]的文章
[Du, Junbao]的文章
[Wang, Cheng]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。