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Emergency Department utilisation and diagnoses in adolescents with postural orthostatic tachycardia syndrome

Published online by Cambridge University Press:  31 March 2023

Jeffrey R. Boris Open the ORCID record for Jeffrey R. Boris [Opens in a new window]  and
Thomas Bernadzikowski
Jeffrey R. Boris*
Affiliation:
Jeffrey R. Boris, MD LLC, Moylan, PA, USA
Thomas Bernadzikowski
Affiliation:
Chesapeake City, MD, USA
*
Address for correspondence: J. R. Boris, MD, Jeffrey R. Boris, MD LLC, P.O. Box 16, Moylan, PA 19065, USA. Tel: 610-608-7235. E-mail: jeffreyborismd@earthlink.net
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Abstract

Introduction:

Data for Emergency Department utilisation and diagnoses in adolescents with postural orthostatic tachycardia syndrome are lacking, making prevention of these visits more difficult to achieve.

Materials and methods:

We performed a retrospective study of patients with postural orthostatic tachycardia syndrome between ages 12 and 18 years seen in the Emergency Department at a large tertiary care children’s hospital. These subjects were age- and sex-matched with controls, with volume of primary and total diagnoses assessed. Due to the relatively small number of subjects, a ± 3-year variance was used among control patients for age matching.

Results:

A total of 297 patients in each group were evaluated. The percentage of female patients was 80.5%. The median age of the subjects was 15.1 years (interquartile range 14.1–15.9), and the median age of controls was 16.1 years (interquartile range 14.4–17.4) (p < 0.00001). Patients with postural orthostatic tachycardia syndrome had greater gastroenterologic and headache diagnoses (p < 0.00001); controls had greater autonomic and psychiatric diagnoses.

Discussion:

Adolescent patients with postural orthostatic tachycardia syndrome who present to the Emergency Department have a preponderance of gastroenterologic and headache complaints versus controls.

Keywords

Headachemigrainegastroparesisdysmotility
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 9 , September 2023 , pp. 1765 - 1768
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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