Patients with syncope in a German emergency department: description of patients and processes.

Deutsches Ärzteblatt International
Sebastian GüldnerMichael Christ

Abstract

We studied the characteristics and resource utilization of patients with syncope in a German emergency department (ED). We carried out a single-center retrospective analysis of patients with syncope who presented to the ED of the Klinikum Nürnberg (a municipal hospital in Nuremberg, Germany). Among the 28 477 patients who presented to the ED from 15 May 2009 to 30 September 2009, 440 (1.5%) presented with syncope. Their mean age was 62 years (standard deviation, 20 years); 50.4% were women, 43.4% were over age 70, 11.8% had cardiogenic and 4.8% neurological syncope, and 18.2% had more than two comorbid conditions. 20.7% were discharged after evaluation in the ED, 14.1% were brielfly hospitalized in the ED's clinical observation unit, and 56.6% were admitted to one of the hospital's specialty wards. 8.6% left the ED against medical advice. All of the syncope patients were evaluated by history-taking, physical examination, and 12-lead electrocardiogragraphy (ECG); ECG revealed abnormal findings in 36.4% of patients. Nearly all patients also underwent laboratory testing, which revealed hyponatremia (a serum sodium concentration under 130 mmol/L) in 5.9% and a serum creatinine level above 2 mg/dL in 5.3%. Many underwent technology-...Continue Reading

References

May 21, 1982·JAMA : the Journal of the American Medical Association·W N KapoorG S Levey
Jun 1, 1996·The American Journal of Medicine·W N Kapoor, B H Hanusa
Nov 26, 1999·Journal of General Internal Medicine·W S GetchellJ H McAnulty
Dec 16, 2000·The New England Journal of Medicine·W N Kapoor
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
Jan 30, 2004·Annals of Emergency Medicine·James V QuinnGeorge A Wells
Apr 12, 2005·Mayo Clinic Proceedings·Jeffrey L SchnipperMelissa Honour
Apr 25, 2006·Annals of Emergency Medicine·James QuinnGeorge Wells
Jul 26, 2006·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·Michele BrignoleUNKNOWN Evaluation of Guidelines in Syncope Study 2 ( EGSYS-2) GROUP
Mar 21, 2007·Annals of Emergency Medicine·J Stephen HuffUNKNOWN American College of Emergency Physicians
Jun 7, 2007·Internal and Emergency Medicine·S A GrossmanN I Shapiro
Nov 3, 2007·The Journal of Emergency Medicine·Shamai A GrossmanNathan I Shapiro
Jan 22, 2008·Journal of the American College of Cardiology·Giorgio CostantinoUNKNOWN STePS Investigators
Aug 30, 2008·Emergency Medicine Journal : EMJ·S Goodacre
Nov 29, 2008·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·Frances McCarthyUNKNOWN European Society of Cardiology
Jul 29, 2009·Archives of Internal Medicine·Mallika L MenduMary E Tinetti
Oct 27, 2009·Archives of Gerontology and Geriatrics·F VettaS M Zuccaro
Feb 23, 2010·Journal of the American College of Cardiology·Matthew J ReedAlasdair J Gray
Mar 11, 2010·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 Baron-EsquiviasPedro Laguna

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Oct 28, 2014·Deutsches Ärzteblatt International·Joscha von RappardLorenz Bärlocher
Jul 27, 2012·Deutsches Ärzteblatt International·Rolf R Diehl
Feb 16, 2012·Deutsches Ärzteblatt International·Karl Werdan
Jul 27, 2012·Deutsches Ärzteblatt International·Carl-Albrecht Haensch

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