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Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors

Syncope in a worker undertaking risky tasks may result in fatalities for the individual or for third parties. We aimed at assessing the rate of syncope recurrence and the risk factors underlying the likelihood of syncope relapse in a working-age population. A prospective cohort of all patients aged...

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Autores principales: Barbic, Franca, Dipaola, Franca, Casazza, Giovanni, Borella, Marta, Minonzio, Maura, Solbiati, Monica, Raj, Satish R., Sheldon, Robert, Quinn, James, Costantino, Giorgio, Furlan, Raffaello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406660/
https://www.ncbi.nlm.nih.gov/pubmed/30699893
http://dx.doi.org/10.3390/jcm8020150
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author Barbic, Franca
Dipaola, Franca
Casazza, Giovanni
Borella, Marta
Minonzio, Maura
Solbiati, Monica
Raj, Satish R.
Sheldon, Robert
Quinn, James
Costantino, Giorgio
Furlan, Raffaello
author_facet Barbic, Franca
Dipaola, Franca
Casazza, Giovanni
Borella, Marta
Minonzio, Maura
Solbiati, Monica
Raj, Satish R.
Sheldon, Robert
Quinn, James
Costantino, Giorgio
Furlan, Raffaello
author_sort Barbic, Franca
collection PubMed
description Syncope in a worker undertaking risky tasks may result in fatalities for the individual or for third parties. We aimed at assessing the rate of syncope recurrence and the risk factors underlying the likelihood of syncope relapse in a working-age population. A prospective cohort of all patients aged 18–65 years consecutively admitted to the Emergency Department for syncope was enrolled. Risk of syncope relapse was assessed at a six-month, 1-year, and 5-year follow-up. Predictors of syncope recurrence have been evaluated at six months and 1 year from the syncope index by a multivariable logistic regression analysis. 348 patients were enrolled. Risk of syncope relapse was 9.2% at 6 months, 11.8% at 1 year, and 23.4% at 5 years. At 6-month follow-up, predictor of syncope recurrence was ≥3 prior lifetime syncope episodes. At 1-year, ≥3 prior lifetime syncope episodes, diabetes mellitus, and anaemia were risk factors for syncope relapse. There was an exceeding risk of recurrence in the first 6 months and a reduced risk of 3.5% per year after the first year. Anaemia, diabetes mellitus, and prior lifetime syncope burden are of importance when giving advice about the resumption of “high risk” jobs following a syncope episode.
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spelling pubmed-64066602019-03-22 Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors Barbic, Franca Dipaola, Franca Casazza, Giovanni Borella, Marta Minonzio, Maura Solbiati, Monica Raj, Satish R. Sheldon, Robert Quinn, James Costantino, Giorgio Furlan, Raffaello J Clin Med Article Syncope in a worker undertaking risky tasks may result in fatalities for the individual or for third parties. We aimed at assessing the rate of syncope recurrence and the risk factors underlying the likelihood of syncope relapse in a working-age population. A prospective cohort of all patients aged 18–65 years consecutively admitted to the Emergency Department for syncope was enrolled. Risk of syncope relapse was assessed at a six-month, 1-year, and 5-year follow-up. Predictors of syncope recurrence have been evaluated at six months and 1 year from the syncope index by a multivariable logistic regression analysis. 348 patients were enrolled. Risk of syncope relapse was 9.2% at 6 months, 11.8% at 1 year, and 23.4% at 5 years. At 6-month follow-up, predictor of syncope recurrence was ≥3 prior lifetime syncope episodes. At 1-year, ≥3 prior lifetime syncope episodes, diabetes mellitus, and anaemia were risk factors for syncope relapse. There was an exceeding risk of recurrence in the first 6 months and a reduced risk of 3.5% per year after the first year. Anaemia, diabetes mellitus, and prior lifetime syncope burden are of importance when giving advice about the resumption of “high risk” jobs following a syncope episode. MDPI 2019-01-29 /pmc/articles/PMC6406660/ /pubmed/30699893 http://dx.doi.org/10.3390/jcm8020150 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Barbic, Franca
Dipaola, Franca
Casazza, Giovanni
Borella, Marta
Minonzio, Maura
Solbiati, Monica
Raj, Satish R.
Sheldon, Robert
Quinn, James
Costantino, Giorgio
Furlan, Raffaello
Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title_full Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title_fullStr Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title_full_unstemmed Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title_short Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors
title_sort syncope in a working-age population: recurrence risk and related risk factors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406660/
https://www.ncbi.nlm.nih.gov/pubmed/30699893
http://dx.doi.org/10.3390/jcm8020150
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