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September 15, 2006Journal of the American Geriatrics SocietyOpen Access

Diagnosis and Characteristics of Syncope in Older Patients Referred to Geriatric Departments

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Key result

A standardized diagnostic algorithm for syncope was safely applied in older patients, identifying neurally mediated syncope in 66.6% of cases and reducing unexplained syncope to 10.4%.

Why the study?

What is the prevalence of different causes of syncope and the applicability of a standardized diagnostic algorithm in older patients referred to geriatric departments?

Population

242 patients consecutively referred for evaluation of transient loss of consciousness to geriatric…

Design

Cross-sectional

Authors

AUAndrea UngarGeneral CardiologyCMChiara MussiUniversity of Modena and Reggio EmiliaARAttilio Del RossoAzienda Unità Sanitaria Locale 11 di Empoli

Discussion

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Implication

Supports standardized syncope algorithms in geriatric care; leaves open prospective validation of diagnostic yield and safety.

Study Design

Type

Cross-Sectional (n=242)

Multicenter

Yes

Structured PICO

What is the prevalence of different causes of syncope and the applicability of a standardized diagnostic algorithm in older patients referred to geriatric departments?

P
Population
242 older adults (mean age 79, range 65-98) consecutively referred for evaluation of transient loss of consciousness to geriatric departments.
E
Exposure
Standardized diagnostic algorithm derived from European Society of Cardiology Guidelines on syncope
O
Outcome
Applicability and safety of the diagnostic algorithm, and prevalence of different causes of syncope

A standardized diagnostic algorithm for syncope is safe and applicable in older patients, reducing the rate of unexplained syncope to approximately 10%.

Cite This Study

Ungar et al. (2006) conducted a cross-sectional in Syncope (n=242). Standardized diagnostic algorithm for syncope was evaluated on Prevalence of different causes of syncope and frequency of unexplained syncope. A standardized diagnostic algorithm for syncope was safely applied in older patients, identifying neurally mediated syncope in 66.6% of cases and reducing unexplained syncope to 10.4%.

synapsesocial.com/papers/6a92fb8a4d51f5c7d1f0b10bhttps://doi.org/10.1111/j.1532-5415.2006.00891.x
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