Resultados tras el seguimiento a largo plazo de los pacientes evaluados en una unidad de síncope

Paula Guardia Martínez, Miguel Ángel Ramírez Marrero, Alberto L. Avilés Toscano, María Inmaculada Navarrete Espinosa, Antonio Aurelio Rojas Sánchez, Markel Mancisidor Urízar
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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.

在晕厥单元评估的患者长期随访后的结果
背景与目的晕厥是医院急诊科就诊的常见原因。由于其表现形式和产生它的多种原因,找到伦理学可能是一项挑战;因此需要创建所谓的“晕厥单位”。我们的目的是分析这些装置的诊断可靠性。材料和方法前瞻性观察分析在我们的晕厥部门评估的465例患者,在长期随访期间评估初始病因诊断的修改。结果随访后,一小部分病例(6.7%)的初始诊断被修改。总死亡率为5.6%,其中只有0.9%是心血管疾病。在随访后归类为心源性晕厥的患者中,没有心血管原因的死亡。结论在晕厥病房随访后,晕厥的初步诊断有很小比例的变化。我们的研究表明,晕厥单位是可靠的结构,当涉及到它的病因诊断。考虑到各中心对该综合征的出勤情况的差异,需要更多的研究来评估哪种组织模式能带来最好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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