Observational studyAnnals of emergency medicine2019
Clinical Benefit of Hospitalization for Older Adults With Unexplained Syncope: A Propensity-Matched Analysis.
Observational study in Annals of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Trial
- Sex Differences in Clinical Outcomes and Resource Utilization Among Emergency Department Patients With Unexplained Syncope or Presyncope: A Prospective, Observational, Cohort Study.Annals of emergency medicine · 2026Observational
- A Metabolomic Approach to Unexplained Syncope.Biomedicines · 2024Article
- Interhospital variability in hospital admissions for patients with low-risk syncope presenting to the emergency department.Heart rhythm O2 · 2024Article
- Application of five risk stratification tools for syncope in older adults.The Journal of international medical research · 2024Article
- Development of a Novel Emergency Department Quality Measure to Reduce Very Low-Risk Syncope Hospitalizations.Annals of emergency medicine · 2022Article
- A Rational Evaluation of the Syncope Patient: Optimizing the Emergency Department Visit.Medicina (Kaunas, Lithuania) · 2021Review
- Just the facts: how to assess a patient presenting to the emergency department with syncope.CJEM · 2021Article
- Benefit of hospital admission for detecting serious adverse events among emergency department patients with syncope: a propensity-score-matched analysis of a multicentre prospective cohort.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Lack of benefit from hospitalization in patients with syncope: A propensity analysis.Journal of the American College of Emergency Physicians open · 2020Article
Corrections and comments
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Authors and funding
19 authors at 15 institutions in 1 country.
Funding
Abstract
STUDY
objectiveMany adults with syncope are hospitalized solely for observation and testing. We seek to determine whether hospitalization versus outpatient management for older adults with unexplained syncope is associated with a reduction in postdisposition serious adverse events at 30 days.
methodsWe performed a propensity score analysis using data from a prospective, observational study of older adults with unexplained syncope or near syncope who presented to 11 emergency departments (EDs) in the United States. We enrolled adults (≥60 years) who presented with syncope or near syncope. We excluded patients with a serious diagnosis identified in the ED. Clinical and laboratory data were collected on all patients. The primary outcome was rate of post-ED serious adverse events at 30 days.
resultsWe enrolled 2,492 older adults with syncope and no serious ED diagnosis from April 2013 to September 2016. Mean age was 73 years (SD 8.9 years), and 51% were women. The incidence of serious adverse events within 30 days after the index visit was 7.4% for hospitalized patients and 3.19% for discharged patients, representing an unadjusted difference of 4.2% (95% confidence interval 2.38% to 6.02%). After propensity score matching on risk of hospitalization, there was no statistically significant difference in serious adverse events at 30 days between the hospitalized group (4.89%) and the discharged group (2.82%) (risk difference 2.07%; 95% confidence interval -0.24% to 4.38%).
conclusionIn our propensity-matched sample of older adults with unexplained syncope, for those with clinical characteristics similar to that of the discharged cohort, hospitalization was not associated with improvement in 30-day serious adverse event rates.
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