caa a22 4500 445807318 CHVBK 20180317145200.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00415-010-5687-0 doi (NATIONALLICENCE)springer-10.1007/s00415-010-5687-0 Outcome and consequences according to the type of transient loss of consciousness: 1-year follow-up study among primary health care patients [Elektronische Daten] [Kirsti Martikainen, Kaija Seppä, Paula Viita, Sulo Rajala, Tiina Luukkaala, Tapani Keränen] The prognosis of transient loss of consciousness (LOC) was studied in a one-year follow-up survey. Included were adult patients referred by primary health care physicians for a non-acute specialist consultation during the 2-year period from 01.10.1999 to 30.9.2001. The main outcome measures were recurrence of LOCs during the follow-up, fear of recurrence, injuries, and employment. Altogether, 109 consecutive patients were followed and 39 (36%) suffered a recurrence during the one-year follow-up: 17 (30%) with syncope, 16 (43%) with seizure and six (38%) with uncertain type of LOC. The first ever seizure recurred in 5/9 (56%) during the first year, but only 1 of 17 (6%) first syncope attacks. There was no difference in the recurrence rate if the patient had had previous attacks prior to the index LOC. Injuries, mainly minor, were associated with LOCs in 56% of patients. The risk of injury was highest (83%) with alcohol-related seizures. The unemployment rate was especially high in the seizure group. Fear of recurrence was more common at the beginning than at the end of the follow-up. Conclusions: Seizures recur relatively often, but also recurrent syncope needs more attention—both may cause fear and lead to injuries. Springer-Verlag, 2010 Alcohol nationallicence Fear nationallicence Seizure nationallicence Syncope nationallicence Martikainen Kirsti Health Centre of the City of Tampere, Tampere, Finland aut Seppä Kaija Medical School, University of Tampere, Tampere, Finland aut Viita Paula Health Centre of the City of Tampere, Tampere, Finland aut Rajala Sulo Department of Internal Medicine, Tampere City Hospital, Tampere, Finland aut Luukkaala Tiina Pirkanmaa Hospital District, Science Center, Tampere, Finland aut Keränen Tapani Department of Pharmacy, University of Eastern Finland, Kuopio, Finland aut Journal of Neurology Springer-Verlag 258/1(2011-01-01), 132-136 0340-5354 258:1<132 2011 258 415 https://doi.org/10.1007/s00415-010-5687-0 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00415-010-5687-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Martikainen Kirsti Health Centre of the City of Tampere, Tampere, Finland aut NATIONALLICENCE 700 1- Seppä Kaija Medical School, University of Tampere, Tampere, Finland aut NATIONALLICENCE 700 1- Viita Paula Health Centre of the City of Tampere, Tampere, Finland aut NATIONALLICENCE 700 1- Rajala Sulo Department of Internal Medicine, Tampere City Hospital, Tampere, Finland aut NATIONALLICENCE 700 1- Luukkaala Tiina Pirkanmaa Hospital District, Science Center, Tampere, Finland aut NATIONALLICENCE 700 1- Keränen Tapani Department of Pharmacy, University of Eastern Finland, Kuopio, Finland aut NATIONALLICENCE 773 0- Journal of Neurology Springer-Verlag 258/1(2011-01-01), 132-136 0340-5354 258:1<132 2011 258 415 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer