Syncope in pediatric patients presenting to an emergency department - 24/08/11
Abstract |
Objective |
To assess the epidemiology of syncope coming to medical attention among unselected children referred to an emergency department in Western Europe.
Study design |
We analyzed the cause of syncope and diagnostic workup of 226 consecutive pediatric patients seen in our emergency department because of a syncopal event.
Results |
Neurocardiogenic syncope and neurologic disorders were the most common diagnoses (80% and 9%, respectively). Other causes included psychologic, cardiac, respiratory, toxicologic, and metabolic problems. The neurocardiogenic and disease-related syncopes were easily identified or suspected by history and physical examination. Electrocardiography was not performed in 132 cases (58%). Most patients with suspected neurocardiogenic syncope had an electroencephalogram, and 29% were admitted to the hospital. Cardiac disorders represented 5 cases (2%); 2 had been previously misdiagnosed.
Conclusions |
Syncope in children can result from a wide variety of causes. Consequently, an evaluation that fails to approach this problem in a goal-directed fashion proves to be very expensive, time-consuming, and frustrating to all concerned. Thorough history and physical examination are usually all that are necessary to guide practitioners in choosing the diagnostic tests that apply to a given patient.
Le texte complet de cet article est disponible en PDF.Abbreviations : ED, NCS
Plan
Supported by the Belgian National Foundation for Research on Pediatric Cardiology. |
Vol 145 - N° 2
P. 223-228 - août 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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