Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study
Objectives. To study factors associated with hospitalization in an unselected population of patients aged 65 years or older treated for syncope in Spanish hospital emergency departments (EDs). To determine the prevalence of adverse events at 30 days in patients discharged home and the factors associ...
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2024 |
| Country: | España |
| Institution: | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| Repository: | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| OAI Identifier: | oai:isabial.fundanetsuite.com:p10317 |
| Online Access: | https://isabial.portalinvestigacion.com/publicaciones10317 https://revistaemergencias.org/articulo/evolucion-clinica-de-los-pacientes-mayores-diagnosticados-de-sincope-en-servicios-de-urgencias-en-espana-resultados-del-estudio-eden-17/ |
| Access Level: | Open access |
| Keyword: | Syncope Hospitalization Prognosis Emergency department revisits Death |
| _version_ | 1878738796527222784 |
|---|---|
| author | García, RM |
| author2 | Piñera-Salmerón, P Jacob, J del Castillo, JG Montero-Pérez, FJ Alquézar-Arbé, A García-Lamberechts, EJ Aguiló, S Fernández-Alonso, C Burillo-Putze, G Gil-Rodrigo, A Llorens, P Mota, MS Chaib, FB García, JP Baena, SB Giménez, DEM Díez, MPL Martín, MM Romero, MR Company, TB Borrego, BV Fernández, MC Sánchez, CE Muñoz, MA Miró, O |
| author2_role | author author author author author author author author author author author author author author author author author author author author author author author author author |
| author_browse | Aguiló, S Alquézar-Arbé, A Baena, SB Borrego, BV Burillo-Putze, G Chaib, FB Company, TB Díez, MPL Fernández, MC Fernández-Alonso, C García, JP García, RM García-Lamberechts, EJ Gil-Rodrigo, A Giménez, DEM Jacob, J Llorens, P Martín, MM Miró, O Montero-Pérez, FJ Mota, MS Muñoz, MA Piñera-Salmerón, P Romero, MR Sánchez, CE del Castillo, JG |
| author_facet | García, RM Piñera-Salmerón, P Jacob, J del Castillo, JG Montero-Pérez, FJ Alquézar-Arbé, A García-Lamberechts, EJ Aguiló, S Fernández-Alonso, C Burillo-Putze, G Gil-Rodrigo, A Llorens, P Mota, MS Chaib, FB García, JP Baena, SB Giménez, DEM Díez, MPL Martín, MM Romero, MR Company, TB Borrego, BV Fernández, MC Sánchez, CE Muñoz, MA Miró, O |
| author_role | author |
| collection | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| description | Objectives. To study factors associated with hospitalization in an unselected population of patients aged 65 years or older treated for syncope in Spanish hospital emergency departments (EDs). To determine the prevalence of adverse events at 30 days in patients discharged home and the factors associated with such events. Methods. We included all patients aged 65 years or older who were diagnosed with syncope during a single week in 52 Spanish EDs, recording patient clinical and ED case management data. We compared the findings between hospitalized patients and those discharged home, following the latter for 30 days. In discharged patients, we explored predictors of a composite adverse-event outcome (occurrence of any of the following: ED revisits, hospitalization related to the index visit, or any-cause death). Results. A total of 477 patients with syncope were identified; 67 (14%) were admitted, and 5 (7.5%) died. The median (interquartile range) length of hospital stay was 6 days (3-11 days). Comorbidity increased the probability of hospitalization (odds ratio, 2.172; 95% CI, 1.013-4.655). Among the 410 patients (86%) discharged home from the ED, 9.2% experienced an adverse event within 30 days (ED revisits, 8.,1%; hospitalization, 2.2%; death, 1.5%). No factors were associated with the 30-day composite outcome. Conclusion. The majority of patients aged 65 years or older are discharged home from EDs, and 30-day adverse events, while infrequent, are difficult to predict. Hospitalization was related to comorbidity and an absence of cognitive decline. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_b54a8d3499b68ea6791c2e4f7aa20f06 |
| institution | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| instname_str | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:isabial.fundanetsuite.com:p10317 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | Soc Espanola Medicina Urgencias & Emergencias-SEMES |
| publisherStr | Soc Espanola Medicina Urgencias & Emergencias-SEMES |
| reponame_str | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| spelling | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study García, RM Piñera-Salmerón, P Jacob, J del Castillo, JG Montero-Pérez, FJ Alquézar-Arbé, A García-Lamberechts, EJ Aguiló, S Fernández-Alonso, C Burillo-Putze, G Gil-Rodrigo, A Llorens, P Mota, MS Chaib, FB García, JP Baena, SB Giménez, DEM Díez, MPL Martín, MM Romero, MR Company, TB Borrego, BV Fernández, MC Sánchez, CE Muñoz, MA Miró, O Syncope Hospitalization Prognosis Emergency department revisits Death Objectives. To study factors associated with hospitalization in an unselected population of patients aged 65 years or older treated for syncope in Spanish hospital emergency departments (EDs). To determine the prevalence of adverse events at 30 days in patients discharged home and the factors associated with such events. Methods. We included all patients aged 65 years or older who were diagnosed with syncope during a single week in 52 Spanish EDs, recording patient clinical and ED case management data. We compared the findings between hospitalized patients and those discharged home, following the latter for 30 days. In discharged patients, we explored predictors of a composite adverse-event outcome (occurrence of any of the following: ED revisits, hospitalization related to the index visit, or any-cause death). Results. A total of 477 patients with syncope were identified; 67 (14%) were admitted, and 5 (7.5%) died. The median (interquartile range) length of hospital stay was 6 days (3-11 days). Comorbidity increased the probability of hospitalization (odds ratio, 2.172; 95% CI, 1.013-4.655). Among the 410 patients (86%) discharged home from the ED, 9.2% experienced an adverse event within 30 days (ED revisits, 8.,1%; hospitalization, 2.2%; death, 1.5%). No factors were associated with the 30-day composite outcome. Conclusion. The majority of patients aged 65 years or older are discharged home from EDs, and 30-day adverse events, while infrequent, are difficult to predict. Hospitalization was related to comorbidity and an absence of cognitive decline. Soc Espanola Medicina Urgencias & Emergencias-SEMES https://isabial.portalinvestigacion.com/publicaciones10317 https://revistaemergencias.org/articulo/evolucion-clinica-de-los-pacientes-mayores-diagnosticados-de-sincope-en-servicios-de-urgencias-en-espana-resultados-del-estudio-eden-17/ |
| spellingShingle | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study García, RM Syncope Hospitalization Prognosis Emergency department revisits Death |
| status_str | publishedVersion |
| title | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| title_full | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| title_fullStr | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| title_full_unstemmed | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| title_short | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| title_sort | Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study |
| topic | Syncope Hospitalization Prognosis Emergency department revisits Death |
| topic_facet | Syncope Hospitalization Prognosis Emergency department revisits Death |
| url | https://isabial.portalinvestigacion.com/publicaciones10317 https://revistaemergencias.org/articulo/evolucion-clinica-de-los-pacientes-mayores-diagnosticados-de-sincope-en-servicios-de-urgencias-en-espana-resultados-del-estudio-eden-17/ |