Key result
Hospital admission for syncope linked to ~8-fold higher 1-year mortality vs discharge.
Why the study?
Syncope is common but its short-term outcomes are incompletely understood, and the impact of hospital admission on prognosis is unknown.
Does hospital admission improve short- and long-term prognosis in patients presenting with syncope?
Population
676 subjects presenting for syncope at 4 emergency departments
Comparison
Hospital admission vs hospital discharge
Design
Cohort study
Follow-up
10 days and 1 year
Authors
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Risk factors for short- and long-term adverse outcomes after syncope differ; hospital admission facilitates short-term therapeutic procedures but does not affect 1-year mortality, which is driven by underlying comorbidities.
Cohort (n=676)
Yes
Does hospital admission improve short- and long-term prognosis in patients presenting with syncope?
Absolute Event Rate: 14.7% vs 1.8%
p-value: p=< 0.05
Risk factors for short- and long-term adverse outcomes after syncope differ; hospital admission facilitates short-term therapeutic procedures but does not affect 1-year mortality, which is driven by underlying comorbidities.
Costantino et al. (2008) conducted a cohort in Syncope (n=676). Hospital admission vs. Hospital discharge was evaluated on 1-year mortality (p=< 0.05). Hospital admission for syncope was associated with higher 1-year mortality (14.7% vs 1.8%, p<0.05) and more short-term major therapeutic procedures (13.3% vs 1.6%) compared to discharge.
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