Barbic Franca, Dipaola Franca, Casazza Giovanni, Borella Marta, Minonzio Maura, Solbiati Monica, Raj Satish R, Sheldon Robert, Quinn James, Costantino Giorgio, Furlan Raffaello
Internal Medicine, Humanitas Clinical and Research Center, Biomedical Sciences Department, Humanitas University, 20089 Rozzano, Italy.
Dipartimento di Scienze Biomediche e Cliniche "L. Sacco"-Università degli Studi di Milano, 20157 Milan, Italy.
J Clin Med. 2019 Jan 29;8(2):150. doi: 10.3390/jcm8020150.
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.
从事危险任务的工人发生晕厥可能会导致个人或第三方死亡。我们旨在评估工作年龄人群中晕厥复发率以及晕厥复发可能性背后的风险因素。纳入了所有年龄在18至65岁之间因晕厥连续入住急诊科的患者组成的前瞻性队列。在6个月、1年和5年的随访中评估晕厥复发风险。通过多变量逻辑回归分析在距晕厥指数6个月和1年时评估晕厥复发的预测因素。共纳入348例患者。晕厥复发风险在6个月时为9.2%，1年时为11.8%，5年时为23.4%。在6个月的随访中，晕厥复发的预测因素是既往有≥3次晕厥发作。在1年时，既往有≥3次晕厥发作、糖尿病和贫血是晕厥复发的风险因素。在最初6个月内复发风险较高，而在第1年后每年复发风险降低3.5%。在就晕厥发作后恢复“高风险”工作提供建议时，贫血、糖尿病和既往晕厥负担很重要。
