北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第一临床医学院  > 儿科  > 期刊论文
学科主题: 临床医学
题名:
The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study
作者: 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
发表日期: 2009-05-01
DOI: 10.1111/j.1651-2227.2008.01195.x
卷: 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
所属项目编号: 2004BA720A10 ; 2006CB503807
项目资助者: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57204
Appears in Collections:北京大学第一临床医学院_儿科_期刊论文

Files in This Item:

There are no files associated with this item.


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:
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.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Zhang, Qingyou]'s Articles
[Du, Junbao]'s Articles
[Wang, Cheng]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Zhang, Qingyou]‘s Articles
[Du, Junbao]‘s Articles
[Wang, Cheng]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace