The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Management of patients with syncope referred urgently to general hospitals
Open accessAbstract
OBJECTIVE: To evaluate the incidence and the strategy of management of syncope admitted urgently to a general hospital. BACKGROUND: The management of patients with syncope is not standardized. METHODS: The study was a prospective observational registry from a sample of 28 general hospitals in Italy and enroled all consecutive patients referred to their emergency rooms from November 5th 2001 to December 7th 2001 who were affected by transient loss of consciousness as the principal symptom. RESULTS: The incidence of syncope was 0.95% (996 of 105,173 patients attending). Forty-six percent were hospitalized, mostly in the Department of Internal Medicine. The mean in-hospital stay was 8.1+/-5.9 days. A mean of 3.48 tests was performed per patient. A definite diagnosis was made in 80% of cases, neurally-mediated syncope being the most frequent. The findings of each of the 28 hospitals participating in the survey were separately evaluated. We observed great inter-hospital and inter-department heterogeneity regarding the incidence of emergency admission, in-hospital pathways, most of the examinations performed and the final assigned diagnosis. For example, the execution of carotid sinus massage ranged from 0% in one hospital to 58% in another (median 12.5%); tilt testing ranged from 0 to 50% (median 5.8%); the final diagnosis of neurally-mediated syncope ranged from 10 to 78.6% (median 43.3%). CONCLUSION: Great inter-hospital and inter-department heterogeneity in the incidence and management of syncope was observed in general hospitals. As a consequence, we were unable to describe a uniform strategy for the management of syncope in everyday practice.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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 [54]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Guidelines on management (diagnosis and treatment) of syncope
Brignole, M. (2001) · European Heart Journal · doi:10.1053/euhj.2001.2739 · Cited by 951
Evaluation and outcome of emergency room patients with transient loss of consciousness
Day, S. C., Cook, E. F., Funkenstein, H., & Goldman, L. (1982) · The American Journal of Medicine · doi:10.1016/0002-9343(82)90913-5 · Cited by 587
Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive Summary.
Brignole, M., Alboni, P., Benditt, D. G., Bergfeldt, L., Blanc, J., Thomsen, P. E. B., van Dijk, J. G., Fitzpatrick, A. P., Hohnloser, S. H., Janoušek, J., et al. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.09.004 · Cited by 566
Evaluation and Outcome of Patients with Syncope
KAPOOR, W. N. (1990) · Medicine · doi:10.1097/00005792-199005000-00004 · Cited by 539
Diagnostic value of history in patients with syncope with or without heart disease
Alboni, P., Brignole, M., Menozzi, C., Raviele, A., Del Rosso, A., Dinelli, M., Solano, A., & Bottoni, N. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01241-4 · Cited by 444
Linzer, M., Yang, E. H., Estes III, N. A. M., Wang, P., Vorperian, V. R., & Kapoor, W. N. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-126-12-199706150-00012 · Cited by 437 · cited 3×
“The initial evaluation per se is able to confirm a diagnosis in 23 to 50% of cases([13,15,17]).”
BackgroundMethodProspective evaluation and outcome of patients admitted for syncope over a 1 year period
Blanc, J. (2002) · European Heart Journal · doi:10.1053/euhj.2001.2975 · Cited by 303
Prospective evaluation of patients with syncope: a population-based study
Sarasin, F., Louis‐Simonet, M., Carballo, D., Slama, S., Rajeswaran, A., Metzger, J., Lovis, C., Unger, P.-F., & Junod, A.-F. (2001) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)00797-5 · Cited by 280
Prospective evaluation of syncope
Martin, G. J., Adams, S. L., Martin, H. G., Mathews, J., Zull, D., & Scanlon, P. J. (1984) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(84)80511-9 · Cited by 239
Ammirati, F. (2000) · European Heart Journal · doi:10.1053/euhj.1999.1910 · Cited by 205
Research works printed but not linked: 3
- Ammirati F, Colivicchi F, Santini M. Diagnosing syncope in the clinical practice. Eur Heart J 2000; 21: 935-40.
- ANMCO Task Force Report. Orientamenti sulla valutazione diagnostica dei pazienti con sincope. G Ital Cardiol 1995; 25: 937-48.
- Linzer M, Yang E, Estes MIII , et al. Diagnosing syncope Part I: value of history, physical examination, and electrocardiog- raphy. Ann Intern Med 1997; 126: 989-96.
Cited by
Sorted by citations
Items 101–149 of 149
Hamman's syndrome: an atypical cause of chest pain
Barge‐Caballero, E., Bouzas‐Mosquera, A., Gulias-Soidan, D., & Castro‐Beiras, A. (2007) · European Heart Journal · doi:10.1093/eurheartj/ehm410 · Cited by 2
von Rose, A. B., Patenge, A., Haller, B., Mehraein, N., Schmid, L., Pförringer, D., & Dommasch, M. (2025) · Medizinische Klinik - Intensivmedizin und Notfallmedizin · doi:10.1007/s00063-024-01241-w · Cited by 2
Mechanism and Prognosis of Syncope in Acquired and Inherited Cardiac Disorders
Ruwald, M. H. (2014) · Journal of Cardiology and Therapy · Cited by 1
Implantable Loop Recorder for a Patient with Unexplained Syncope
Tanno, K., & Onuki, T. (2011) · Journal of Arrhythmia · doi:10.1016/s1880-4276(11)80027-x · Cited by 1
Carotid Sinus Syndrome: Pathophysiology and Diagnosis
Blanc, J. (2020) · Springer eBooks · doi:10.1007/978-3-030-44507-2_15 · Cited by 1
A survey of the management of transient loss of consciousness in the emergency department
Matthews, I., Lawson, J., Parry, S. D., & Davison, J. G. (2014) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.4997/jrcpe.2014.103 · Cited by 1
Yapar, N., Altınbilek, E., Öztürk, D., Ikızcelı, İ., Kavalcı, C., Serin, M., Çaltılı, Ç., & Çelik, B. (2015) · Journal of Pharmaceutical and Scientific Innovation · doi:10.7897/2277-4572.04223 · Cited by 1
Synkopenmanagement in der Praxis
Oebel, S., & Hindricks, G. (2018) · Herz · doi:10.1007/s00059-018-4757-4 · Cited by 1
Puppala, V. K., Sakaguchi, S., Dickinson, O., & Benditt, D. G. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6705-2_17 · Cited by 1
Definition and Classification of Syncope and Transient Loss of Consciousness
Blanc, J. (2007) · Wiley eBooks · doi:10.1002/9780470692639.ch1 · Cited by 1
Syncope Facilities: Background and Current Standards
Brignole, M., & Benditt, D. G. (2010) · Springer eBooks · doi:10.1007/978-0-85729-201-8_9 · Cited by 1
Syncope presenting to the emergency department
Sutton, R. (2021) · Journal of Internal Medicine · doi:10.1111/joim.13258 · Cited by 1
The Syncope Unit: How To Better Organise It? The European Experience
Brignole, M. (2006) · Springer eBooks · doi:10.1007/88-470-0371-7_81
Epidemiology of Vasovagal Syncope
Solbiati, M., & Sheldon, R. S. (2014) · Springer eBooks · doi:10.1007/978-3-319-09102-0_4
Blanc, J. J. (2003) · Réanimation · doi:10.1016/j.reaurg.2003.08.002
Role of Syncope Management Units
Shen, W. K., & Brignole, M. (2007) · Wiley eBooks · doi:10.1002/9780470692639.ch24
Cambournac-Buan, A., Dadone, B. C., & Trinh-Duc, A. (2015) · EMC - Urgenze · doi:10.1016/s1286-9341(15)70472-2
Diagnosis and Management of Vasovagal Syncope in the Elderly
Occhetta, E., & Bortnik, M. (2006) · Aging Health · doi:10.2217/1745509x.2.5.809
Definition and Classification of Transient Loss of Consciousness
Furlan, L., Costantino, G., Solbiati, M., & Alboni, P. (2014) · Springer eBooks · doi:10.1007/978-3-319-09102-0_3 · Cited by 1
Wu, M. A., Fiorelli, E. M., Sandrone, G., Danna, P., Belloni, A., Tobaldini, E., & Montano, N. (2013) · Internal and Emergency Medicine · doi:10.1007/s11739-013-1003-1
Sadri, H., & Winsor, P. (2014) · Healthcare Management Forum · doi:10.1016/j.hcmf.2014.03.005
Hraïech, A. E., Monsel, F., Sergent, J., & Amara, W. (2013) · Annales de Cardiologie et d Angéiologie · doi:10.1016/j.ancard.2013.08.007
The Effect of Late Adoption of Canadian Innovations: A Case for Implantable Cardiac Monitors
Sadri, H., & Winsor, P. (2014) · Healthcare Management Forum · doi:10.1016/j.hcmf.2014.01.002 · Cited by 1
Arrhythmogenic syncope in a "neurologic" patient. The need for a multidisciplinary approach.
Manolis, A. G., Kourouklis, S., Chatzis, D., Psathas, C., & Kyriakides, Z. S. (2008) · PubMed
Beleslin, B., Deljanin, M., Kanjuh, V., Parapid, B. J., Giga, V. L., Prostran, M. S., Angelkov, L., Balinovac, J., Bikicki, M., Ambrosio, G., et al. (2013)
Diagnostic Value of Test Tilt in Unexplained Syncope—A Heart Institute Abidjan
Koffi, J. D. N. B. (2015) · OALib · doi:10.4236/oalib.1102060
Thomas, H. E., Cunnington, M. S., & McComb, J. M. (2011) · Reviews in Clinical Gerontology · doi:10.1017/s0959259811000086
E L TRATAMIENTO DE LAS ARRITMIAS : PERSPECTIVA DE UN DESAFÍO
Moyá, A., Rivas‐Gándara, N., Pérez‐Rodon, J., Roca, I., & David Garcia-dorado, A. (2016)
Syncope: First Evaluation and Management in the Emergency Department
Giada, F., & Nordio, A. (2015) · Springer eBooks · doi:10.1007/978-3-319-24328-3_2
Campana, A., Casari, S., Catalano, A., Fabrizio, G. D., Marotta, T., Mascia, F., Rillo, M., Santangelo, L., Santomauro, M., Stabile, G., et al. (2016)
Prasad, S., Schweikert, R. A., Chung, M. K., Mayuga, K. A., & Wazni, O. M. (2020) · CRC Press eBooks · doi:10.1201/9781315118086-16
Syncope and Risk of Sudden Death
Adkisson, W. O., Krishnan, B., & Benditt, D. G. (2017) · Cardiovascular medicine · doi:10.1007/978-3-319-58000-5_19
Leite, M. A. (2018) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.17.2018.tde-24042018-171611
Il tilt testing nella diagnosi di sincope
Giada, F., Madalosso, M., & Raviele, A. (2008) · Giornale Italiano di Aritmologia e Cardiostimolazione
The Role and Importance of the Tilt Table Test in Pediatrics
Begić, Z., Begić, N., Begić, E., & Spahović, N. (2020) · Heart and Mind · doi:10.4103/hm.hm_24_20
Lü, F., Sakaguchi, S., & Benditt, D. G. (2007) · Humana Press eBooks · doi:10.1007/978-1-59259-918-9_18
Prasad, S., Schweikert, R. A., & Chung, M. K. (2007) · CRC Press eBooks · doi:10.3109/9780203089866-20
Morillo, C. A., & Expósito-García, V. (2009) · Springer eBooks · doi:10.1007/978-1-84882-927-5_3
(2007) · Circulation · doi:10.1161/circ.115.10.f37
Fauchier, L., Bodin, A., & Bisson, A. (2022) · La Presse Médicale Formation · doi:10.1016/j.lpmfor.2022.10.017
Diagnostic orientation and risk stratification in syncope
Buzea, A., Dan, A. R., & Dan, G. A. (2013) · Romanian Journal of Neurology · doi:10.37897/rjn.2013.3.1
Benditt, D. G., Lü, F., & Sakaguchi, S. (2009) · Wiley eBooks · doi:10.1002/9781444309768.ch42
Refractory Vasovagal Syncope Despite Tilt Training: Should Paroxetine be Included in the Treatment?
Asarcıklı, L. D., Beton, O., Açar, B., Beton, N., Birtan, H., Zekican, G., Yılmaz, N., Kaya, H., Kurt, R., Akın, Y., et al. (2024) · Cyprus Journal of Medical Sciences · doi:10.4274/cjms.2024.2023-66
Alfaiz, A. S. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000003479
Remote Cardiovascular Consultations: Bridging Distances in Primary Care
Solari, M., Vaona, A., Menichetti, F., Mevsim, V., Heguia, H., Özkaya, Y., & Ecarnot, F. (2025) · TELe-Health · doi:10.1007/978-3-031-89661-3_14
Almeida, C., Oliveira, M., Laranjo, S. M., & Perelman, J. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14945-w
Barón‐Esquivias, G., Fernández‐Cisnal, A., Arce‐León, Á., Toro, R., Cantero-Pérez, E. M., Parejo-Matos, J., Romero-Rodríguez, N., Montero, E., & Martı́nez, Á. (2015) · Clinical Trials and Regulatory Science in Cardiology · doi:10.1016/j.ctrsc.2015.05.001
Metadata
- Authors
- Disertori, M.
- Affiliations
- Ospedale Santa Chiara (IT)
- Corresponding author
- Disertori, M
- ORCID
- Disertori, M
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-07
- Volume
- 5
- Issue
- 3
- Pages
- 283-291
- ISSN
- 1099-5129 (ISSN-L)
- OpenAlex
- W2158273748
- Cited by
- 153
- References
- 17
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 9 · 2017: 8 · 2016: 6 · 2015: 9 · 2014: 12 · 2013: 16 · 2012: 7
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
- Keywords
- syncope, neurally mediated syncope, emergency department admission, inpatient management, carotid sinus massage, tilt table test, diagnostic workup, interhospital variation, transient loss of consciousness, hospitalization
- MeSH terms
- Adult, Aged, Aged, 80 and over, Emergency Service, Hospital, Female, Hospitals, General, Humans, Italy, Male, Middle Aged, Practice Patterns, Physicians', Prospective Studies, Referral and Consultation, Registries, Syncope, Cohort Studies, Incidence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
