Paula Guardia Martínez, Miguel Ángel Ramírez Marrero, Alberto L. Avilés Toscano, María Inmaculada Navarrete Espinosa, Antonio Aurelio Rojas Sánchez, Markel Mancisidor Urízar
{"title":"Resultados tras el seguimiento a largo plazo de los pacientes evaluados en una unidad de síncope","authors":"Paula Guardia Martínez, Miguel Ángel Ramírez Marrero, Alberto L. Avilés Toscano, María Inmaculada Navarrete Espinosa, Antonio Aurelio Rojas Sánchez, Markel Mancisidor Urízar","doi":"10.1016/j.carcor.2018.07.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objective</h3><p>Syncope is a frequent reason for consulting the hospital emergency department. Finding the ethiology can be a challenge due to its presentation and the multiple causes that originate it; hence the need to create so-called “syncope units”. Our objective was to analyze the diagnostic reliability of these units.</p></div><div><h3>Materials and methods</h3><p>Prospective observational analysis of 465 patients evaluated in our syncope unit, where modifications of the initial etiological diagnosis during long-term follow-up are evaluated.</p></div><div><h3>Results</h3><p>After follow-up, the initial diagnosis was modified in a small percentage of cases (6.7%). The overall mortality was 5.6%, of which only 0.9% was of cardiovascular origin. Among the patients with syncope cataloged as cardiogenic after the follow-up, there were no deaths of cardiovascular origin.</p></div><div><h3>Conclusions</h3><p>There is a small percentage of change in the initial diagnosis of syncope after follow-up in the syncope unit. Our study suggests that the syncope units are reliable structures when it comes to finding the etiological diagnosis of it. Given the variability in the attendance of this syndrome between centers, more studies would be necessary to evaluate which organizational model presents the best results.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiocore","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1889898X18300574","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Background and objective
Syncope is a frequent reason for consulting the hospital emergency department. Finding the ethiology can be a challenge due to its presentation and the multiple causes that originate it; hence the need to create so-called “syncope units”. Our objective was to analyze the diagnostic reliability of these units.
Materials and methods
Prospective observational analysis of 465 patients evaluated in our syncope unit, where modifications of the initial etiological diagnosis during long-term follow-up are evaluated.
Results
After follow-up, the initial diagnosis was modified in a small percentage of cases (6.7%). The overall mortality was 5.6%, of which only 0.9% was of cardiovascular origin. Among the patients with syncope cataloged as cardiogenic after the follow-up, there were no deaths of cardiovascular origin.
Conclusions
There is a small percentage of change in the initial diagnosis of syncope after follow-up in the syncope unit. Our study suggests that the syncope units are reliable structures when it comes to finding the etiological diagnosis of it. Given the variability in the attendance of this syndrome between centers, more studies would be necessary to evaluate which organizational model presents the best results.