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Prevalence of and Variables Associated with Syncope-Related Injuries and Fractures in Germany: A Cross-Sectional Study in General Practices
Background: There is a lack of studies investigating the prevalence of syncope-related injuries in a large representative cohort. The aim of this cross-sectional study is to investigate the prevalence of, and variables associated with syncope-related injuries and fractures in a large outpatient p...
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| Autoren: | , , , , |
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| 格式: | Artikel |
| 語言: | 英语 |
| 出版: |
Philipps-Universität Marburg
2024
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| 主題: | |
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| 總結: | Background: There is a lack of studies investigating the prevalence of syncope-related
injuries in a large representative cohort. The aim of this cross-sectional study is to investigate the
prevalence of, and variables associated with syncope-related injuries and fractures in a large outpatient
population in Germany. Methods: The present study used data from the Disease Analyzer
database (IQVIA) and included adults with first-time diagnoses of syncope in 1 of 1284 general
practices in Germany between 2005 and 2022 (index date). The prevalence of injuries and separate
fractures documented on the index date was examined, and the association of demographic and clinical
variables with the risk of syncope-related injuries and fractures was studied using multivariable
logistic regression. Results: A total of 143,226 patients (mean age: 57.1 years, 56.9% female) were
included in this study. The proportion of injuries was 10.4% and increased from 6.4% in the age group
18–30 to 15.0% in the age group >80 years. Female sex was associated with a slightly higher risk of
injury (OR: 1.09; 95% CI: 1.05–1.13) and fractures (OR: 1.17; 95% CI: 1.07–1.28). Osteoporosis was
associated with a higher risk of injury (OR: 1.25; 95% CI: 1.16–1.34) and fracture (OR: 1.53; 95% CI:
1.33–1.76), while obesity was only associated with a slightly increased risk of injury. Conclusions:
Syncope-related injuries are common among syncope patients. Factors associated with a higher risk
of syncope-related injuries, such as female sex, older age, and osteoporosis, can be incorporated into
an effective risk stratification and help to improve the outcome of syncope patients. |
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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.3390/jcm13061566 |