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
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
WOS记录号WOS:000264878100023
Citation statistics
Cited Times:31[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57204
Collection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
Recommended Citation
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.
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