{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:38:50Z","timestamp":1747183130700,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of vasovagal syncope (VVS) precipitated by medical procedures such as blood donation is quoted as between 0.13% and 4.17%. Vasovagal events have been observed to occur following cast removal at our paediatric orthopaedic clinic; however, there is no available information in the existing literature regarding incidence or risk factors. This study aims to identify the incidence and demographic traits of patients experiencing syncopal events following cast removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a 12\u2010month period, paediatric patients experiencing a syncopal or pre\u2010syncopal event during an outpatient appointment for cast removal were prospectively enrolled into the study. Basic demographic data were recorded, as well as injury and procedure details and a description of the event. Statistical analysis as well as calculation of incidence of vasovagal events were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 6078 patients presented for cast removal in the 12\u2010month period. Twenty syncopal or pre\u2010syncopal events were recorded. Incidence was calculated as 0.32%. Mean patient age was 10.8\u2009years. Male : female ratio was 2.3:1. Mean body mass index (BMI) was 20.08, with a trend for higher prevalence of males under the 50th BMI percentile\u2010for\u2010age. The mean time post\u2010injury was 31.4\u2009days. Ninety\u2010five percent of patients were being treated for an upper limb injury and 30% had injuries that had been treated surgically. There were no associated secondary complications or injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incidence of VVS following cast removal is comparable to the values quoted in literature for other medical procedures. Demographic data of our cohort suggested that those who experienced VVS were predominantly young males of lower\u2010than\u2010average BMI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16664","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T22:17:48Z","timestamp":1613859468000},"page":"668-672","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prospective analysis of syncope\/pre\u2010syncope in a tertiary paediatric orthopaedic fracture outpatient clinic"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4231-8642","authenticated-orcid":false,"given":"Jonathan","family":"Davies","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"},{"name":"School of Medicine Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leigh","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brahman","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Hand and Peripheral Nerve Surgery Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Australian Research Collaboration on Hands  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Carty","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Griffith Centre of Biomedical and Rehabilitation Engineering Menzies Health Institute Queensland  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donal","family":"Whiting","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Australian Research Collaboration on Hands  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13266"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1997.02170400041007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2011.03439.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2012.04.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2012.03631.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1423-0410.2011.01494.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_9_1","unstructured":"Centers for Disease Control and Prevention.BMI Calculator \u2013 Child and Teen.2020. 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