{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T10:09:07Z","timestamp":1747303747268,"version":"3.40.5"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951123000707_as1\"><jats:title>Introduction:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000707_as2\"><jats:title>Materials and methods:<\/jats:title><jats:p>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\u2019s 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 \u00b1 3-year variance was used among control patients for age matching.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000707_as3\"><jats:title>Results:<\/jats:title><jats:p>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\u201315.9), and the median age of controls was 16.1 years (interquartile range 14.4\u201317.4) (p &lt; 0.00001). Patients with postural orthostatic tachycardia syndrome had greater gastroenterologic and headache diagnoses (p &lt; 0.00001); controls had greater autonomic and psychiatric diagnoses.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000707_as4\"><jats:title>Discussion:<\/jats:title><jats:p>Adolescent patients with postural orthostatic tachycardia syndrome who present to the Emergency Department have a preponderance of gastroenterologic and headache complaints versus controls.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951123000707","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T01:14:20Z","timestamp":1680225260000},"page":"1765-1768","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Emergency Department utilisation and diagnoses in adolescents with postural orthostatic tachycardia syndrome"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0428-7681","authenticated-orcid":false,"given":"Jeffrey R.","family":"Boris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Bernadzikowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"S1047951123000707_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002888"},{"key":"S1047951123000707_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12895"},{"key":"S1047951123000707_ref9","doi-asserted-by":"crossref","first-page":"e12489","DOI":"10.1002\/emp2.12489","article-title":"Worsening of emergency department length of stay during the COVID-19 pandemic","volume":"2","author":"Lucero","year":"2021","journal-title":"J Am Coll Emerg Physicians Open"},{"first-page":"1","volume-title":"Trends in the Utilization of Emergency Department Services, 2009-2018","year":"2021","key":"S1047951123000707_ref8"},{"key":"S1047951123000707_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/0883073819889711"},{"key":"S1047951123000707_ref7","unstructured":"7. Emergency Department Clinical Pathway for Healthy Children with Gastroenteritis\/Dehydration. Retrieved May 5, 2022, from https:\/\/www.chop.edu\/clinical-pathway\/gastroenteritis-and-dehydration-clinical-pathway"},{"key":"S1047951123000707_ref3","unstructured":"3. Social Science Statistics. Retrieved May 5, 2022, from www.socscistatistics.com"},{"key":"S1047951123000707_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2008.144360"},{"key":"S1047951123000707_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2017-000116"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951123000707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T23:33:44Z","timestamp":1702164824000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951123000707\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,31]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S1047951123000707"],"URL":"https:\/\/doi.org\/10.1017\/s1047951123000707","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2023,3,31]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}