| Autor: |
Morag RM; Department of Emergency Medicine, Emory University, Atlanta, Georgia, USA., Murdock LF, Khan ZA, Heller MJ, Brenner BE |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of emergency medicine [J Emerg Med] 2004 Nov; Vol. 27 (4), pp. 339-43. |
| DOI: |
10.1016/j.jemermed.2004.04.017 |
| Abstrakt: |
Is hospitalization needed for patients in whom an underlying cause of syncope is not detected in the Emergency Department (ED)? To answer this question, we conducted a prospective, short-term outcomes study of consecutive patients > or = 50 years old presenting to our ED after a syncopal episode. All subjects received a structured ED evaluation. Forty-five patients met inclusion criteria, 67% were hospitalized. None of the patients experienced a life-threatening event or required significant therapeutic interventions during the hospitalization. No patient had a new diagnosis relevant to syncope. Follow-up interviews 1 month later revealed no repeat ED visits, hospitalizations, or deaths (95% upper CI, 6.5%). One patient reported a recurrent syncope (recurrence 2.2% [95% upper CI, 10%]). This pilot study suggests that a negative structured ED evaluation may identify patients > or = 50 years of age who may be safely discharged from the ED. Further validation is required before this observation is applied to clinical practice. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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