Older age predicts short-term, serious events after syncope

Benjamin C. Sun, Jerome R. Hoffman, Carol M. Mangione, William R. Mower

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

OBJECTIVES: To assess the relationship between age and 14-day serious events after an emergency department (ED) visit for syncope. DESIGN: One-year prospective cohort study. SETTING: Single academic ED. PARTICIPANTS: Adult patients with an ED complaint of syncope or near-syncope. MEASUREMENTS: Treating physicians prospectively recorded the presence or absence of potential risk factors for serious clinical events. Patients were contacted by telephone at 14 days for a structured interview. A three-physician panel reviewed ED charts, hospital records, and telephone interview forms to identify predefined events. The primary outcome included any 14-day predefined event. A secondary outcome included any 14-day predefined event that was first diagnosed after the initial ED visit. Age was analyzed in 20-year intervals. Multivariate logistic regression controlled for baseline demographic, comorbidity, and electrocardiogram data. RESULTS: Of 592 eligible patients, 477 (81%) provided informed consent. Follow-up was successfully obtained for 463 (97%) patients. The age range was 18 to 96, and 47% of patients were aged 60 and older. There were 80 (17%) patients who had a 14-day event, including 18 (4%) with a delayed diagnosis. Compared with patients aged 18 to 39, the adjusted odds ratio (OR) of a serious outcome was 2.7 (95% confidence interval (CI)=0.9-8.4) for patient aged 40 to 59, 3.8 (95% CI=1.3-12) for patients aged 60 to 79, and 3.8 (95% CI=1.2-12) for patients aged 80 and older. CONCLUSION: Age of 60 and older is strongly associated with short-term serious events after an ED visit for syncope.

Original languageEnglish (US)
Pages (from-to)907-912
Number of pages6
JournalJournal of the American Geriatrics Society
Volume55
Issue number6
DOIs
StatePublished - Jun 1 2007

Keywords

  • Prognosis
  • Risk predictors
  • Syncope

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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