Patient characteristics and diagnostic tests associated with syncopal falls: A Southwestern surgical congress multicenter study.
作者信息
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
机构信息
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.
Department of Surgery, Division of Trauma and Acute Care Surgery, University of Chicago, Chicago, IL, USA.
出版信息
Am J Surg. 2022 Dec;224(6):1374-1379. doi: 10.1016/j.amjsurg.2022.07.018. Epub 2022 Jul 31.
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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