9/5/2023 0 Comments Syncopal episode icd 9![]() ![]() Unexplained falls may mask a diagnosis of syncope in nearly 50% of cases. Moreover, the number of fractures is expected to increase as the population of older individuals increases. Fractures resulting from falls constitute a leading public health concern, since they are associated with extensive human and socio-economic impact, morbidity, mortality, and costs. The overlap between reflex syncope, orthostatic hypotension, and falls is becoming increasingly acknowledged. Orthostatic hypotension is the second most common aetiology of syncope, occurring in approximately 15% of syncope presentations. The causes of syncope may be broadly divided into reflex syncope, orthostatic hypotension (OH), and primary cardiac syncope. Syncope is a transient loss of consciousness due to cerebral hypoperfusion and is characterised by a rapid onset, short duration, and spontaneous complete recovery. Our findings suggest that such individuals should be clinically assessed for their syncope aetiology, with preventative measures aimed at fall and fracture risk assessment and management. Individuals hospitalised due to unexplained syncope and orthostatic hypotension have an increased risk of subsequent fractures. Multivariable-adjusted Cox regression showed an increased risk of incident fractures following hospitalisations due to unexplained syncope (HR 1.20 95% CI 1.02–1.40 p = 0.025) and OH (HR 1.42 95% CI 1.21–1.66 p < 0.001) compared with unaffected individuals. Individuals with incident fractures were older, more likely to be women, and had lower BMI, higher prevalence of prevalent fractures, and family history of fractures. The mean time from baseline and first admission for syncope ( n = 493) or OH ( n = 406) was 12.6 ± 4.2 years, and the mean age of the first hospitalisation was 74.6 ± 7.4 years. Resultsĭuring a follow-up period of 17.8 + 6.5 years, 8201 (27%) subjects suffered incident fractures. Multivariable-adjusted Cox regression analysis was applied to assess the impact of unexplained syncope and OH hospitalisations on subsequent incident fractures. We included individuals hospitalised due to unexplained syncope or OH as the main diagnosis. We analysed a large population-based prospective cohort of 30,399 middle-aged individuals (age, 57.5 ± 7.6 women, 60.2%). In this study, we aimed to investigate the relationship between previous hospital admissions due to unexplained syncope and OH and incident fractures in a middle-aged population. The relationship between a history of unexplained syncope and orthostatic hypotension (OH) with subsequent fractures, however, has not been thoroughly examined. Impaired orthostatic blood pressure response and syncope confer a high risk of falls and trauma. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |