Abstract 52: Short and Long Term Outcomes of Patients Admitted with Unexplained Syncope Using a Simple Novel SELF-Pathway
| Autor: | Emad F. Aziz, Balai Pratap, Terrence Park, Chelsea Rittenhouse, Darcie Alwood, Mythri Pokal, Chaithanya K Pamidimukala, Chandu Siripuram, Kultida Tangwongchai, Eyal Herzog, Joseph Bastawrose |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
biology Heart disease business.industry Syncope (genus) medicine.disease biology.organism_classification Surgery Internal medicine Heart failure Diabetes mellitus medicine Clinical endpoint Long term outcomes Myocardial infarction Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 5 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.5.suppl_1.a52 |
| Popis: | Background: According to the design of our SELF pathway, patients are stratified twice using the acronyms SELF-A (Short period, Early-rapid onset, Loss of consciousness, Full recovery) and SELF-B (Structural heart disease, abnormal Ecg, and arrhythmia Fib/FL). We assessed the short and Long-term outcome according to this approach. Methods: 1468 patients were prospectively followed after presenting to our emergecy department for the evaluation of syncope. Patients were divided into Group I (SELF +/+) who met both SELF A and B criteria and group II (SELF -/-) who didnot meet these criteria.The primary endpoint was a composite of readmission for syncope, myocardial infarction (MI), stroke or death. Follow-up was 494 ± 120 days. Results: 644 (44%) patients were included in group I and 824 (64%) patients in group II. Group I were older (73 ± 15 years vs. 58 ± 22 years), with more evidence of hypertension (74% vs. 41%), diabetes (24% vs. 15%), heart failure (15% vs. 5%), and coronary disease (26% vs. 10%); p Conclusions: Using the SELF-pathway for patients presenting with syncope effectively identifies high risk patients who merit hospitalization for further work-up. This has important implications for the evaluation of a common disease that poses a significant economic burden on healthcare systems. |
| Databáze: | OpenAIRE |
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