Prognosis of patients with syncope seen in the emergency room department: an evaluation of four different risk scores recommended by the European Society of Cardiology guidelines

Barón-Esquivias, Gonzalo; Fernández‐Cisnal, Agustín; Arce-León, Álvaro; Toro, Rocío; Cantero-Pérez, E.M.; Parejo-Matos, Juan; Romero-Rodríguez, Nieves; Montero, Emilio; Martı́nez, Ángel

doi:10.1097/mej.0000000000000392

Cited by 5 publications

(1 citation statement)

References 28 publications

(45 reference statements)

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“…Of the 692 articles found in the updated literature search, three additional articles by Sandhu et al, Baron-Esquivias et al, and Du Fay De Lavallaz et al were found and included in our systematic review. [19][20][21] The articles by Du Fay De Lavallaz et al and Baron-Esquivias et al reported outcomes beyond one year and did not explicitly report one-year outcomes. The authors did not respond to our attempts to clarify the data.…”

Section: Literature Searchmentioning

confidence: 99%

Long-term outcomes in syncope patients presenting to the emergency department: A systematic review

Leafloor

Hong

Mukarram

et al. 2019

CJEM

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IntroductionLong-term outcomes among syncope patients are not well studied to guide physicians regarding outpatient testing and follow-up. The objective of this study was to conduct a systematic review for outcomes at 1-year or later among ED syncope patients.MethodsWe searched Cochrane Central, Medline, Medline in Process, PubMed, Embase, and the Cumulative Index to Nursing databases from inception to December 2018. We included studies that reported long-term outcomes among ED syncope patients. We excluded studies on patients <16 years old, studies that included syncope mimickers (pre-syncope, seizure, intoxication, loss of consciousness after head trauma), case reports, letters to the editor, non-English and review articles. Outcomes included death, syncope recurrence requiring hospitalization, arrhythmias and procedural interventions for arrhythmias. Meta-analysis was performed by pooling the outcomes using random effects model.ResultsInitial literature search generated 2,094 articles duplicate removal. Of the 50 articles selected for full-text review, 19 articles with 98,211 patients were included in this review: of which 12 were included in the 1-year outcome meta-analysis. Pooled analysis showed : 7.0% mortality; 16.0% syncope recurrence requiring hospitalization; 6.0% with device insertion. 1-year arrhythmias reported in two studies were 1.1 and 26.4%. Pooled analysis for outcome at 31 to 365 days showed: 5.0% mortality and 1% device insertion. Two studies reported 4.9% and 21% mortality at 30 months and 4.2 years follow-up.ConclusionsAn important proportion of ED syncope patients suffer long-term morbidity and mortality. Appropriate follow-up is needed and future research to identify patients at risk is needed.

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Section: Literature Searchmentioning

confidence: 99%

Long-term outcomes in syncope patients presenting to the emergency department: A systematic review

Leafloor

Hong

Mukarram

et al. 2019

CJEM

View full text Add to dashboard Cite

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Ethnic differences in lifetime cumulative incidence of syncope: the Malaysian elders longitudinal research (MELoR) study

Tan

Chin

et al. 2019

Clin Auton Res

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Comparison between standard and ultrasound-integrated approach for risk stratification of syncope in the emergency department

et al. 2022

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Prognosis of patients with syncope seen in the emergency room department: an evaluation of four different risk scores recommended by the European Society of Cardiology guidelines

Abstract: Although a large number of events occur after syncope, the risk scores recommended by guidelines overestimate risk, but there were no statistically significant differences between observed and predicted risk.

Cited by 5 publications

References 28 publications

Long-term outcomes in syncope patients presenting to the emergency department: A systematic review

Long-term outcomes in syncope patients presenting to the emergency department: A systematic review

Ethnic differences in lifetime cumulative incidence of syncope: the Malaysian elders longitudinal research (MELoR) study

Comparison between standard and ultrasound-integrated approach for risk stratification of syncope in the emergency department

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