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|Title:||Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study||Authors:||Numeroso, Filippo
|Keywords Plus:||EMERGENCY-DEPARTMENT;STRATIFICATION;ADMISSION;SCORE||Mesh headings:||Emergency Medicine;Syncope||Secondary Mesh headings:||Aged;Aged, 80 and over;Cardiovascular Diseases;Cohort Studies;Comorbidity;Female;Hospitalization;Humans;Incidence;Length of Stay;Male;Middle Aged;Prognosis;Risk Factors||Issue Date:||2016||Publisher:||WILEY-BLACKWELL||Journal:||Academic emergency medicine : official journal of the Society for Academic Emergency Medicine||Abstract:||
Despite guidelines, admission rates and expenditures for syncope remain high. This may be caused by an imprecise definition of cardiovascular disease considered at risk and an overestimation of the role of comorbidities and advanced age. In a cohort of patients with undetermined syncope, we prospectively compared the short-term prognosis of patients at intermediate risk (i.e., with stable heart diseases or comorbidities, of any age) versus those at high risk for cardiogenic syncope and identified factors associated with serious events. Secondarily, we analyzed the current management of intermediate-risk patients.
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