Risk Factors for Vasovagal Reactions during Nonoperative Orthopedic Interventions in Outpatient Clinics: A Clinical Evaluation of 1,208 Patients.

Mustafa Özyıldıran, Mustafa Onur Karaca, Abdullah Merter

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Article in Clinics in orthopedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Mustafa ÖzyıldıranDepartment of Orthopedics and Traumatology, Sandıklı State Hospital, Afyonkarahisar, Türkiye.ORCID https://orcid.org/0000-0002-2187-9267

Mustafa Onur KaracaDepartment of Orthopedics and Traumatology, Ankara University Faculty of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0003-0783-510X

Abdullah MerterDepartment of Orthopedics and Traumatology, Ankara University Faculty of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-6796-3176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vasovagal reactions (VVRs) are abnormal autonomic responses mediated by the vagus nerve. They can occur during or after interventional procedures and negatively impact patient care. The aim of this study was to evaluate the incidence of VVRs observed during nonoperative orthopedic interventions in outpatient clinics and to analyze the associated risk factors. Methods: The data of 1,208 patients who underwent nonoperative orthopedic interventions at a single-center outpatient clinic between December 2023 and December 2024 were retrospectively analyzed. Patients were categorized into 2 groups based on the occurrence of VVR. The clinical data of both groups were analyzed to identify factors associated with VVRs. Results: A total of 1,208 patients with a mean age of 54.7 years were included in the study. Among the 1,208 patients included, 51 cases of VVRs were reported (4.2%). The VVR group had a younger mean age (44.2 vs. 55.1 years, Conclusions: Younger age, female sex, higher VAS scores, BII phobia, and longer fasting times were the risk factors for VVRs associated with nonoperative orthopedic interventions.

Indexed as

Orthopedic ProceduresSyncope, VasovagalAdultAgedAmbulatory Care FacilitiesFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsNonoperative orthopedic interventionsOutpatientOutpatient proceduresVasovagal reactionsVasovagal syncope

Identifiers

PMID41647493

DOI10.4055/cios25097

PMCPMC12868087

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