Observation vs admission in syncope: can we predict short length of stays?

The American Journal of Emergency Medicine
Margaret LinShamai A Grossman

Abstract

Rising health care costs demands justifying prolonged hospitalization for syncope, yet predictors of shorter length of stay (LOS) have not been identified. The objective of this study is to identify independent predictors of LOS for syncope patients presenting to the emergency department (ED). We performed an analysis of a prospectively collected cohort of ED syncope patients. We examined risk factors from the patient's ED presentation and workup and used Spearman rank correlation to evaluate the relationship between these risk factors and LOS in a logistic regression model for prediction of hospitalization less than 1 day. Of 568 total syncope patients, 350 (61.6%) were admitted and comprise the study cohort. Mean age was 57 years (SD, ±25 years); 39.6% were male. Length of hospitalization was less than or equal to 1 in 179 patients (51.1%). The number of risk factors was associated with LOS (P < .001). Most hospitalized patients with less than 1 predictor were hospitalized for less than 1 day (152/272; 55.9%). In multivariate logistic regression analysis, clear vasovagal etiology was positively correlated with LOS less than 1 day (odds ratio [OR], 1.92), whereas dysrhythmia (OR, 0.3), coronary artery disease (OR, 0.33), abnor...Continue Reading

References

Nov 11, 1992·JAMA : the Journal of the American Medical Association·W N Kapoor
May 1, 1990·Medicine·W N Kapoor
Jul 28, 1983·The New England Journal of Medicine·W N KapoorG S Levey
Oct 20, 1999·Pacing and Clinical Electrophysiology : PACE·J A NymanV Manda
Feb 22, 2005·The American Journal of Cardiology·Benjamin C SunCarlos A Camargo
Apr 25, 2006·Annals of Emergency Medicine·James QuinnGeorge Wells
Nov 3, 2007·The Journal of Emergency Medicine·Shamai A GrossmanNathan I Shapiro
Mar 23, 2011·The Journal of Emergency Medicine·Shamai A GrossmanNathan I Shapiro

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Citations

Mar 8, 2018·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·R B GuimarãesT L L Leiria
Mar 22, 2018·European Heart Journal·Michele BrignoleUNKNOWN ESC Scientific Document Group

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