Favorable prognosis for syncope patients discharged from ER

Favorable prognosis for syncope patients discharged from ER
(HealthDay)—Most patients presenting to the emergency department (ED) with a primary diagnosis of syncope are discharged and have a favorable prognosis, and though total costs to care for discharged syncope patients are high, cost per patient is lower compared with hospitalized patients, according to a study published online Nov. 1 in JACC: Clinical Electrophysiology.

Roopinder K. Sandhu, M.D., M.P.H., from the University of Alberta in Canada, and colleagues examined outcomes and costs for 51,831 consecutive patients presenting to the ED with a primary of syncope from 2006 to 2014.

The researchers found that 6.6 percent of were hospitalized and discharged with a primary diagnosis of syncope (cohort 1), 8.7 percent were hospitalized and discharged with a primary diagnosis other than syncope (cohort 2), and 84.7 percent were discharged home from the ED with a diagnosis of syncope (cohort 3). There was variation in 30-day ED revisits for syncope from 1.2 to 2.4 percent for cohorts 2 and 1, respectively; readmission rates were below 1 percent among the cohorts. Short- and long-term mortality rates were highest and lowest for cohorts 2 and 3, respectively (30-day mortality: 1.2, 5.2, and 0.4 percent for cohorts 1, 2, and 3, respectively; one-year : 9.2, 17.7, and 3 percent, respectively). The total cost of syncope presentation was $534.8 million ($76.7 million, $139.4 million, and $318.7 million for cohorts 1, 2, and 3, respectively).

"Further research is needed for cost-saving strategies across all cohorts," the authors write.


Explore further

Pulmonary embolism may be cause of syncope in some elderly

More information: Abstract/Full Text (subscription or payment may be required)

Copyright © 2017 HealthDay. All rights reserved.

Citation: Favorable prognosis for syncope patients discharged from ER (2017, November 3) retrieved 22 May 2019 from https://medicalxpress.com/news/2017-11-favorable-prognosis-syncope-patients-discharged.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
0 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more