Syncope prevalence in the ED compared to general practice and population: a strong selection process
Abstract
Objective We assessed the prevalence and distribution of the different causes of transient loss of consciousness (TLOC) in the emergency department (ED) and chest pain unit (CPU) and estimated the proportion of persons with syncope in the general population who seek medical attention from either their general practitioner or the ED/CPU. Methods A review of the charts of consecutive patients presenting with TLOC at the ED/CPU of our university hospital between 2000 and 2002 was conducted. Patients younger than 12 years or with a known epileptic disorder were excluded. Age and sex of syncopal patients were compared with those in a general practice and general population data sets. Main findings and conclusions During the study period, 0.94% of the patients visiting the ED/CPU presented with TLOC (n = 672), of which half had syncope. Only a small but probably selected group of all people with syncope visit the ED/CPU.
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The prevalence of syncope as a presenting symptom to the ED ranged from 0.8% to 2.4% in multiple studies in both academic and community settings.
“The prevalence of syncope as a presenting symptom to the ED ranged from 0.8% to 2.4% in multiple studies in both academic and community settings (49–55).”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [51]
Cites
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- Authors
- Olde Nordkamp, L. R. A., van Dijk, N., Ganzeboom, K. S., Reitsma, J. B., Luitse, J. S. K., Dekker, L. R. C., Shen, W.-K., & Wieling, W.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Mayo Clinic (US)
- Venue
- The American Journal of Emergency Medicine
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 27
- Issue
- 3
- Pages
- 271-279
- ISSN
- 0735-6757 (ISSN-L)
- OpenAlex
- W2075337959
- Cited by
- 158
- References
- 7
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 9 · 2022: 6 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 7 · 2017: 16 · 2016: 8 · 2015: 9 · 2014: 16 · 2013: 15 · 2012: 16
- FWCI
- 13.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- TU/e Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- syncope, transient loss of consciousness, emergency department utilization, chest pain unit, general practice, prevalence, selection bias, age and sex distribution, general population
- MeSH terms
- Adolescent, Adult, Aged, Emergency Service, Hospital, Family Practice, Female, Humans, Male, Middle Aged, Netherlands, Retrospective Studies, Risk Factors, Syncope, Prevalence, Chi-Square Distribution
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