Epidemiological characteristics and diagnostic approach in patients admitted to the emergency room for transient loos of consciousness: Group for Syncope Study in the Emergency Room (GESINUR) study

Baron Esquivias, Gonzalo; Martínez Alday, Jesús; Martín, Alfonso; Moya, Ángel; García Civera, Roberto; López Chicharro, María Paz; Martín Mendez, María; Archo, Carmen del y Laguna, Pedro (2010). Epidemiological characteristics and diagnostic approach in patients admitted to the emergency room for transient loos of consciousness: Group for Syncope Study in the Emergency Room (GESINUR) study. "Europace", v. 12 (n. 6); pp. 869-876. ISSN 1099-5129. https://doi.org/10.1093/europace/euq018.

Descripción

Título: Epidemiological characteristics and diagnostic approach in patients admitted to the emergency room for transient loos of consciousness: Group for Syncope Study in the Emergency Room (GESINUR) study
Autor/es:
  • Baron Esquivias, Gonzalo
  • Martínez Alday, Jesús
  • Martín, Alfonso
  • Moya, Ángel
  • García Civera, Roberto
  • López Chicharro, María Paz
  • Martín Mendez, María
  • Archo, Carmen del
  • Laguna, Pedro
Tipo de Documento: Artículo
Título de Revista/Publicación: Europace
Fecha: Junio 2010
Volumen: 12
Materias:
Palabras Clave Informales: Syncope, Emergency department, Transient loss of consciousness
Escuela: E.T.S.I. Telecomunicación (UPM)
Departamento: Otro
Licencias Creative Commons: Reconocimiento - Sin obra derivada - No comercial

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Resumen

Aims: To assess the clinical presentation and acute management of patients with transient loss of consciousness (T-LOC) in the emergency department (ED). Methods and results: A multi-centre prospective observational study was carried out in 19 Spanish hospitals over 1 month. The patients included were 14 years old and were admitted to the ED because of an episode of T-LOC. Questionnaires and corresponding electrocardiograms (ECGs) were reviewed by a Steering Committee (SC) to unify diagnostic criteria, evaluate adherence to guidelines, and diagnose correctly the ECGs. We included 1419 patients (prevalence, 1.14%).ECG was performed in 1335 patients (94%) in the ED: 498 (37.3%) ECGs were classified as abnormal. The positive diagnostic yield ranged from 0% for the chest X-ray to 12% for the orthostatic test. In the ED, 1217 (86%) patients received a final diagnosis of syncope, whereas the remaining 202 (14%) were diagnosed of non-syncopal transient lossof consciousness (NST-LOC). After final review by the SC, 1080 patients (76%) were diagnosed of syncope, whereas 339 (24%) were diagnosed of NST-LOC (P , 0.001). Syncope was diagnosed correctly in 84% of patients. Only 25% of patients with T-LOC were admitted to hospitals. Conclusion Adherence to clinical guidelines for syncope management was low; many diagnostic tests were performed with low diagnostic yield. Important differences were observed between syncope diagnoses at the ED and by SC decision.

Más información

ID de Registro: 16590
Identificador DC: http://oa.upm.es/16590/
Identificador OAI: oai:oa.upm.es:16590
Identificador DOI: 10.1093/europace/euq018
URL Oficial: http://europace.oxfordjournals.org/content/early/2010/04/08/europace.euq018
Depositado por: Memoria Investigacion
Depositado el: 22 Jul 2013 17:14
Ultima Modificación: 21 Abr 2016 16:55
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