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January 1, 2002Journal of Cardiovascular Electrophysiology

Diagnosis was achieved by history and examination alone in 61% of cases, while hospital admission accounted for 67% of the cost of investigating syncope.

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Population

660 patients who suffered an episode of syncope, presenting to a nontertiary center in the United Kingdom.

Design

Cohort

Authors

DFDavid FarwellNSNeil Sulke

Discussion

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Overview

May support limiting admissions via history and exam in syncope; leaves open prospective validation of safety and cost savings.

Structured PICO

P
Population
660 patients (mean age 64 years) who suffered an episode of syncope, presenting to a nontertiary center in the United Kingdom.
I
Intervention
Diagnostic evaluation for syncope including history, examination, and 13 different types of investigations.
O
Outcome
Diagnostic yield and cost-effectiveness of syncope investigations.

In patients presenting with syncope, history and examination alone provide a diagnosis in 61% of cases, while hospital admission drives the majority of investigational costs.

Cite This Study

Farwell et al. (2002) studied this question.

synapsesocial.com/papers/6a8bc8de95f0361a9ebee10fhttps://doi.org/10.1111/j.1540-8167.2002.tb01946.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Syncope of unknown origin. The need for a more cost-effective approach to its diagnosis evaluation1982 · 195 citations
  2. 2Syncope: Diagnostic Yield of Various Clinical Investigations2022 · 3 citations
  3. 3Syncope2014 · 3 citations
  4. 4Evaluation and management of the patient with syncope1992 · 37 citations
  5. 5Evaluation and Management of the Patient With Syncope1992 · 229 citations