Cost of diagnosis and treatment of syncope in patients admitted to a cardiology unit

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
Gonzalo Barón-EsquiviasJosé Burgos

Abstract

Despite the large number of hospital admissions due to syncope, information on the in-hospital cost of management of these patients remains incomplete. In order to assess such cost, we analysed the clinical histories of the patients suffering from syncope who were admitted to our Unit of Cardiology in 2003. We determined the length of stay (in days) for each inpatient, the number of diagnostic tests performed, and the various therapeutic procedures undertaken. Two hundred and three patients (mean age 68 +/- 14, 49% female) were admitted because of syncope. Final diagnoses on discharge were drug-induced syncope in 10 patients, vasovagal syncope in 11, syncope secondary to cardiac ischaemia in 18, valvular disease in 4, rapid supraventricular arrhythmia in 20, ventricular arrhythmia in 19, atrioventricular block in 90, and unexplained syncope in 31 patients. Of these 203 patients, 70 (34.5%) had a previous history of cardiac disease. The global cost for all 203 patients was 2,264,979 Euros. The overall cost per patient was 11,158 Euros (range: 1651-31,762) including stay, diagnosis, and treatment. The overall cost of hospital stay per patient was 3718 Euros (range: 1436-5679). The overall cost per diagnosis of the 203 patients wa...Continue Reading

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Citations

Mar 12, 2013·Progress in Cardiovascular Diseases·Robert Sheldon
Mar 12, 2013·Progress in Cardiovascular Diseases·Benjamin C Sun
Mar 23, 2011·Medicina clínica·Francesc Planas ComesMontserrat Altimira
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Jul 1, 2010·Journal of Cardiovascular Electrophysiology·Robert SheldonSarah Rose
Jun 26, 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·Rose Anne KennyWouter Wieling
Jun 28, 2015·Cardiology Clinics·Brian Olshansky, Renee M Sullivan
Jun 28, 2015·Cardiology Clinics·Robert Sheldon
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May 20, 2020·Scientific Reports·Ricardo Rivera-LópezMiguel Alvarez
Mar 22, 2018·European Heart Journal·Michele BrignoleUNKNOWN ESC Scientific Document Group

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