Trends in syncope testing and admissions in the USA from 2006 through 2019.

Autor: Ruzieh M; Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Florida, 1600 SW Archer Road, PO BOX 100288, Gainesville, FL, 32610, USA. Moh.ruzieh@gmail.com., Bai C; Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, 32610, USA., Kimmel SE; Department of Epidemiology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, 32610, USA., Goldberger ZD; Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Wisconsin, Madison, WI, USA., Dasa O; Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Florida, 1600 SW Archer Road, PO BOX 100288, Gainesville, FL, 32610, USA., Petersen JW; Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Florida, 1600 SW Archer Road, PO BOX 100288, Gainesville, FL, 32610, USA., Smoot M; Division of Cardiovascular Medicine, University of Virginia, Charlottesville, VA, USA., Edwards ES; Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, 32610, USA., Kamisetty SR; Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, 32610, USA., Mardini MT; Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, 32610, USA.
Jazyk: angličtina
Zdroj: Clinical autonomic research : official journal of the Clinical Autonomic Research Society [Clin Auton Res] 2024 Nov 19. Date of Electronic Publication: 2024 Nov 19.
DOI: 10.1007/s10286-024-01089-2
Abstrakt: Introduction: Syncope is common, with bimodal distribution through life, peaking in adolescence and in the elderly, and overall increases in incidence with age among both men and women. In this context, syncope-related visits to emergency departments (ED), hospitalizations, and testing are a significant healthcare cost burden. Ultimately, understanding the volume of testing types and settings of syncope encounters may aid in more effective healthcare utilization and high value care for this patient population.
Methods: Data for this study were collected from the Truven Health Analytics MarketScan Database from 2006 to 2019. This database contains both commercially insured patients and those with Medicare coverage. Patients with the diagnosis of syncope were identified using International Classification of Diseases (ICD)-9 and -10 codes. We assessed the incidence of various tests for syncope evaluation and ED disposition for the study period.
Results: The incidence of syncope among the study cohort rose from nine per 1000 patients to 13 per 1000 patients during the study period. The incidence of testing for syncope among multiple domains (neurologic, cardiac, blood testing) decreased in some categories, but routine testing remained prevalent. Women had a significantly lower incidence of testing in most testing domains. Discharge rate from the ED for patients presenting with syncope remained stable during the study period. However, admission rate to the hospital for those aged > 65 years increased during the study time.
Conclusion: Testing and admissions for syncope remain prevalent and are drivers of healthcare-associated costs. There is a clear need for further work in developing a focused approach in the evaluation of syncope patients in order to mitigate healthcare costs and improve outcomes.
Competing Interests: Declarations Conflicts of interest None.
(© 2024. Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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