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Patient characteristics and diagnostic tests associated with syncopal falls: A Southwestern surgical congress multicenter study.
Lee, Janet S; Khan, Abid D; Quinn, Christopher M; Colborn, Kathryn; Patel, Deven C; Barmparas, Galinos; Margulies, Daniel R; Waller, Christine J; Kallies, Kara J; Fitzsimmons, Alec J; Kothari, Shanu N; Raines, Alexander R; Mahnken, Heidi; Dunn, Julie; Zier, Linda; McIntyre, Robert C; Urban, Shane; Coleman, Julia R; Campion, Eric M; Burlew, Clay C; Schroeppel, Thomas J.
Afiliação
  • Lee JS; Department of Trauma and Acute Care Surgery, UCHealth Memorial Hospital, Colorado Springs, CO, USA; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: janet.lee@cuanschutz.edu.
  • Khan AD; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Chicago, Chicago, IL, USA. Electronic address: adkhan@gmail.com.
  • Quinn CM; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Surgical Outcomes and Applied Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Christopher.2.quinn@cuanschutz.edu.
  • Colborn K; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Surgical Outcomes and Applied Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Kathryn.colborn@cuanschutz.edu.
  • Patel DC; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: Deven.Patel@cshs.org.
  • Barmparas G; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: galinos.barmparas@cshs.org.
  • Margulies DR; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: daniel.margulies@cshs.org.
  • Waller CJ; Department of Surgery, Gundersen Health System, La Crosse, WI, USA. Electronic address: cjwaller@gundersenhealth.org.
  • Kallies KJ; Department of Medical Research, Gundersen Health System, La Crosse, WI, USA. Electronic address: kjkallie@gundersenhealth.org.
  • Fitzsimmons AJ; Department of Medical Research, Gundersen Health System, La Crosse, WI, USA. Electronic address: ajfitzsi@gundersenhealth.org.
  • Kothari SN; Department of General Surgery, Prisma Health, Greenville, SC, USA. Electronic address: Shanu.Kothari@prismahealth.org.
  • Raines AR; Department of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA. Electronic address: alexander-raines@ouhsc.edu.
  • Mahnken H; Department of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA. Electronic address: mahnkenheidi@gmail.com.
  • Dunn J; Department of Trauma and Acute Care Surgery, UCHealth Medical Center of the Rockies, Loveland, CO, USA. Electronic address: Julie.Dunn@uchealth.org.
  • Zier L; Department of Trauma and Acute Care Surgery, UCHealth Medical Center of the Rockies, Loveland, CO, USA. Electronic address: linda.zier@uchealth.org.
  • McIntyre RC; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Robert.mcintyre@cuanschutz.edu.
  • Urban S; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Shane.Urban@uchealth.org.
  • Coleman JR; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Department of Surgery, Denver Health Medical Center, Denver, CO, USA. Electronic address: julia.coleman@cuanschutz.edu.
  • Campion EM; Department of Surgery, Denver Health Medical Center, Denver, CO, USA. Electronic address: eric.campion@dhha.org.
  • Burlew CC; Department of Surgery, Denver Health Medical Center, Denver, CO, USA. Electronic address: clay.burlew@cuanschutz.edu.
  • Schroeppel TJ; Department of Trauma and Acute Care Surgery, UCHealth Memorial Hospital, Colorado Springs, CO, USA. Electronic address: Thomas.schroeppel@uchealth.org.
Am J Surg ; 224(6): 1374-1379, 2022 Dec.
Article em En | MEDLINE | ID: mdl-35940931
ABSTRACT

BACKGROUND:

Patients suspected of syncope frequently undergo laboratory and imaging studies to determine the etiology of the syncope. Variability exists in these workups across institutions. The purpose of this study was to evaluate the utilization and diagnostic yield of these workups and the patient characteristics associated with syncopal falls.

METHODS:

A multi-institutional retrospective review was performed on adult patients admitted after a fall between 1/2017-12/2018. Syncopal falls were compared to non-syncopal falls.

RESULTS:

4478 patients were included. There were 795 (18%) patients with a syncopal fall. Electrocardiogram, troponin, echocardiogram, CT angiography (CTA), and carotid ultrasound were more frequently tested in syncope patients compared to non-syncope patients. Syncope patients had higher rates of positive telemetry/Holter monitoring, CTAs, and electroencephalograms.

CONCLUSION:

Patients who sustain syncopal falls frequently undergo diagnostic testing without a higher yield to determine the etiology of syncope.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síncope / Telemetria Tipo de estudo: Clinical_trials / Diagnostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: En Revista: Am J Surg Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síncope / Telemetria Tipo de estudo: Clinical_trials / Diagnostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: En Revista: Am J Surg Ano de publicação: 2022 Tipo de documento: Article