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...

Descripción completa

Detalles Bibliográficos
Autores: 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p10317
Acceso en línea: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:acceso abierto
Palabra clave:Syncope
Hospitalization
Prognosis
Emergency department revisits Death
id ES_b54a8d3499b68ea6791c2e4f7aa20f06
oai_identifier_str oai:isabial.fundanetsuite.com:p10317
network_acronym_str ES
network_name_str España
repository_id_str
spelling Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 studyGarcía, RMPiñera-Salmerón, PJacob, Jdel Castillo, JGMontero-Pérez, FJAlquézar-Arbé, AGarcía-Lamberechts, EJAguiló, SFernández-Alonso, CBurillo-Putze, GGil-Rodrigo, ALlorens, PMota, MSChaib, FBGarcía, JPBaena, SBGiménez, DEMDíez, MPLMartín, MMRomero, MRCompany, TBBorrego, BVFernández, MCSánchez, CEMuñoz, MAMiró, OSyncopeHospitalizationPrognosisEmergency department revisits DeathObjectives. 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-SEMES2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones10317https://revistaemergencias.org/articulo/evolucion-clinica-de-los-pacientes-mayores-diagnosticados-de-sincope-en-servicios-de-urgencias-en-espana-resultados-del-estudio-eden-17/EmergenciasISSN: 11376821ISSNe: 23865857reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Españolinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p103172026-06-12T10:20:37Z
dc.title.none.fl_str_mv Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study
title Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study
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
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_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_sort Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study
dc.creator.none.fl_str_mv 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 García, RM
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
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
dc.subject.none.fl_str_mv Syncope
Hospitalization
Prognosis
Emergency department revisits Death
topic Syncope
Hospitalization
Prognosis
Emergency department revisits Death
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.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv 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/
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/
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Soc Espanola Medicina Urgencias & Emergencias-SEMES
publisher.none.fl_str_mv Soc Espanola Medicina Urgencias & Emergencias-SEMES
dc.source.none.fl_str_mv Emergencias
ISSN: 11376821
ISSNe: 23865857
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869417351107051520
score 15,811543

Similares en LA Referencia