A Population-Based Cohort Study Evaluating Outcomes and Costs for Syncope Presentations to the Emergency Department

JACC. Clinical Electrophysiology
Roopinder K SandhuPadma Kaul

Abstract

This study sought to examine outcomes and costs of patients with syncope admitted and discharged from the emergency department (ED). ED visits for syncope are common, yet the impact on health care utilization is relatively unknown. A total of 51,831 consecutive patients presented to the ED with a primary diagnosis of syncope (International Classification of Diseases-9 code 780.2 and International Classification of Diseases-10 code R55) in Alberta, Canada from 2006 to 2014. Outcomes included 30-day syncope ED and hospital readmissions; 30-day and 1-year mortality; and annual inpatient, outpatient, physician, and drug costs, cumulative. Of adults presenting to the ED, 6.6% were hospitalized and discharged with a primary diagnosis of syncope (Cohort 1), 8.7% were hospitalized and discharged with a primary diagnosis other than syncope (Cohort 2), and 84.7% were discharged home with a syncope diagnosis (Cohort 3). The 30-day ED revisits for syncope varied from 1.2% (Cohort 2) to 2.4% (Cohort 1) (p < 0.001), and readmission rates were <1% among cohorts. Short- and long-term mortality rates were highest for Cohort 2 and lowest for Cohort 3 (30-day mortality: Cohort 1 of 1.2%, Cohort 2 of 5.2%, Cohort 3 of 0.4%; p < 0.001) (1-year mort...Continue Reading

References

Sep 20, 2002·The New England Journal of Medicine·Elpidoforos S SoteriadesDaniel Levy
May 3, 2003·European Heart Journal·Furio ColivicchiUNKNOWN OESIL (Osservatorio Epidemiologico sulla Sincope nel Lazio) Study Investigators
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Mar 12, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nils EdvardssonNicholas J Linker
May 7, 2015·The American Journal of Emergency Medicine·Marc A ProbstBenjamin C Sun
Jan 29, 2017·The Canadian Journal of Cardiology·Roopinder K SandhuPadma Kaul

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Citations

May 21, 2019·Circulation·Roopinder K Sandhu, Robert S Sheldon
Oct 2, 2019·CJEM·Cameron W LeafloorVenkatesh Thiruganasambandamoorthy
Dec 19, 2019·Frontiers in Cardiovascular Medicine·Roopinder K Sandhu, Robert S Sheldon
Oct 8, 2020·Journal of Arrhythmia·Ahmed M AdlanFaizel Osman
Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Padma KaulRobert S Sheldon

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