Risk factors of death in 30 days after syncope
10.3760/cma.j.issn.1671-0282.2018.06.020
- VernacularTitle:晕厥患者发生晕厥后30d内死亡的危险因素探讨
- Author:
Jianbin MA
1
;
Dong WANG
;
Qi WANG
;
Hongli LIU
;
Jinjin SUN
;
Hongchao ZHANG
;
Fangfang BI
;
Jun LIU
Author Information
1. 空军总医院急诊部
- Keywords:
Syncope;
Death;
Cardiogenic syncope;
Neuroreflex syncope;
Orthostatic hypotension;
Erect intolerance syncope;
Unexplained syncope;
Risk factor
- From:
Chinese Journal of Emergency Medicine
2018;27(6):672-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of death in patients with syncope. Methods Clinical data of 516 patients experienced syncope admitted from June 2010 to June 2016 were analyzed retrospectively. Factors including gender, age, history of hypertension, diabetes mellitus, hyperlipidemia, smoking history, drinking history, and etiology of syncope (cardiogenic syncope, neuroreflex syncope, orthostatic hypotension, orthostatic syncope, unexplained syncope, and syncope caused by other special diseases) were analyzed as likely risk factors of death within 30 days after syncope happened. After adding the derived variables (over 22 new factors), analyses were done to investigate independent risk factors of death for patients with syncope. Results This study included 321 male (62.2％) and 195 females (37.8％), with mean age of (62.23±19.69) years. Logistic regression analyses showed that age (OR=1.033, 95％ confidence interval (95％CI):1.008-1.058, P =0.008 8),cardiac syncope (OR=19.704,95％CI:5.894-5.875,P＜0.01) were independent risk factors of death within 30 days after syncope occurred. Multiple-variate analysis with derived variables showed that cardiac syncope (OR=11.487, 95％CI:4.938-26.721,P＜0.01),age and age derived variables (OR=1.000, 95％CI:1.000-1.000,P=0.000 8),age and cardiogenic syncope derivative variables (OR=1.033, 95％CI:1.022-1.044, P＜0.01) were independent risk factors for death within 30 days after syncope. Conclusion Age and cardiogenic syncope were independent risk factors for death within 30 days after syncope occurred. And a derivative factor of age, and interactivity between age and cardiac syncope were independent risk factors of death in patients with syncope.
