The Journal of Emergency Medicine
Volume 40, Issue 5 , Pages 592-597 , May 2011

Can Benign Etiologies Predict Benign Outcomes in High-Risk Syncope Patients?

This work was presented at the Society for Academic Emergency Medicine New England Regional Meeting, April 2008, Shrewsbury, MA, and the Society for Academic Emergency Medicine National Meeting, Washington, DC, May 2008.

  • Shamai A. Grossman, MD, MS

      Affiliations

    • Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • Corresponding Author InformationReprint Address: Shamai A. Grossman, md, ms, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, WCC2, One Deaconess Road, Boston, MA 02115
    • ,
  • Christopher Fischer, MD

      Affiliations

    • Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • ,
  • Adarsh Kancharla, MD

      Affiliations

    • Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • ,
  • Lewis A. Lipsitz, MD

      Affiliations

    • Gerontology Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • ,
  • Lawrence Mottley, MD

      Affiliations

    • Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • ,
  • Peter Zimetbaum, MD

      Affiliations

    • Cardiology Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • ,
  • Nathan I. Shapiro, MD, MPH

      Affiliations

    • Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts

Received 16 January 2009 ,Revised 4 August 2009 ,Accepted 20 September 2009.

References 

  1. Blanc JJ, L'Her C, Touiza A, Garo B, L'Her E, Mansourati J. Prospective evaluation and outcome of patients admitted for syncope over a 1 year period. Eur Heart J. 2002;23:815–820
  2. Sun BC, Emond JA, Camargo CA. Direct medical costs of syncope-related hospitalizations in the United States. Am J Cardiol. 2005;95:668
  3. Lipsitz LA. Syncope in the elderly. Ann Intern Med. 1983;99:92–105
  4. Oh JH, Hanusa BH, Kapoor WN. Do symptoms predict cardiac arrhythmias and mortality in patients with syncope?. Arch Intern Med. 1999;159:375–380
  5. Martin TP, Hanusa BH, Kapoor WN. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459–466
  6. Quinn JV, Stiell IG, McDermott DA, et al. Derivation of the San Francisco syncope rule to predict patients with short-term serious outcomes. Ann Emerg Med. 2004;43:224–232
  7. Middlekauff HR, Stevenson WG, Stevenson LW, et al. Syncope in advanced heart failure: high risk of sudden death regardless of origin of syncope. J Am Coll Cardiol. 1993;21:110–116
  8. Grossman SA, Fischer C, Lipsitz LA, et al. Predicting adverse outcomes in syncope. J Emerg Med. 2007;33:233–239
  9. Grossman SA, Lieberman R, Bar J, et al. Reducing admissions utilizing the Boston Syncope Criteria. Acad Emerg Med. 2007;14:S47
  10. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of patients presenting with syncope. Ann Emerg Med. 2001;37:771–776
  11. Kapoor WN, Karpf M, Wieand S. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197–204
  12. Grossman SA, Von Epp S, Ryan A, et al. Can we define criteria for admission in elderly patients presenting to the ED with syncope?. Ann Emerg Med. 2002;38:872
  13. von Dohlen TW, Frank MJ. Presyncope and syncope (How to find the cause and avoid staggering costs). Postgrad Med. 1989;86:94–96
  14. Thakore SB, Crombie I, Johnston M. The management of syncope in a British emergency department compared to recent American guidelines. Scott Med J. 1999;44:155–157
  15. Farwell D, Sulke N. How do we diagnose syncope?. J Cardiovasc Electrophysiol. 2002;13(1 Suppl):S9–S13
  16. Gilman JK. Syncope in the emergency department (A cardiologist's perspective). Emerg Med Clin North Am. 1995;13:955–971
  17. Junaid A, Dubinsky IL. Establishing an approach to syncope in the emergency department. J Emerg Med. 1997;15:593–599
  18. Mozes B, Confino-Cohen R, Halkin H. Cost-effectiveness of in-hospital evaluation of patients with syncope. Isr J Med Sci. 1988;24:302–306
  19. Simpson CS, Krahn AD, Klein GJ, et al. A cost effective approach to the investigation of syncope: relative merit of different diagnostic strategies. Can J Cardiol. 1999;15:579–584
  20. Gallagher EJ. Hospitalization for fainting: high stakes, low yield. Ann Emerg Med. 1997;29:540–542
  21. Kapoor WN, Hanusa BH. Is syncope a risk factor for poor outcomes? (Comparison of patients with and without syncope). Am J Med. 1996;100:646–655
  22. Elesber AA, Decker WW, Smars PA, Hodge DO, Shen WK. Impact of the application of the American College of Emergency Physicians recommendations for the admission of patients with syncope on a retrospectively studied population presenting to the emergency department. Am Heart J. 2005;149:826–831

PII: S0736-4679(09)00788-4

doi: 10.1016/j.jemermed.2009.09.010

The Journal of Emergency Medicine
Volume 40, Issue 5 , Pages 592-597 , May 2011

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