Impact of a dedicated syncope and falls facility for older adults on emergency beds
Abstract
Background syncope and falls are common symptoms in older adults. Dedicated facilities for these symptoms are emerging in the UK. To date, justification for resource allocation for these day case facilities is lacking. A dedicated syncope and falls day case facility for older adults was set up in Newcastle in 1991 (at the Royal Victoria Infirmary). The facility provided rapid access for assessment of appropriate patients from the community, the accident and emergency department, or emergency admissions. Activity and performance in 1999 were compared with peer inner-city teaching hospitals and with previous performance in 1990 at the Royal Victoria Infirmary to determine whether the facility had influenced emergency activity. Objective to describe the impact of the facility on emergency bed activity and performance for the diagnostic categories of syncope, falls, collapses, gait abnormalities and dizziness. Design descriptive study. Setting syncope and falls day case facility. Methods performance and activity for Healthcare Resource Groups and ICD codes relevant to falls and syncope were compared for adults over 65 years attending the Royal Victoria Infirmary and thirteen peer hospitals. Activity and performance before the facility was set up (1990) at the Royal Victoria Infirmary were also compared with 1999 data. Results syncope and collapse is the 6th commonest reason for acute hospital attendance of over 65-year olds in the UK. In 1999, the Royal Victoria Infirmary was at…
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Specialized syncope evaluation units may lead to reduced health service use and increased diagnostic rates.
“Specialized syncope evaluation units may lead to reduced health service use and increased diagnostic rates (114–119).”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [114]
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Developed in collaboration with, European Heart Rhythm Association (EHRA), Heart Failure Association (HFA), and Heart Rhythm Society (HRS), societies, E. B. T. F., European Society of Emergency Medicine (EuSEM), European Federation of Internal Medicine (EFIM), European Union Geriatric Medicine Society (EUGMS), American Geriatrics Society (AGS), European Neurological Society (ENS), et al. (2009) · European Heart Journal · doi:10.1093/eurheartj/ehp298 · Cited by 2,040 · see citing works
Self-citation2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
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Brignole, M., Menozzi, C., Bartoletti, A., Giada, F., Lagi, A., Ungar, A., Ponassi, I., Mussi, C., Maggi, R., Re, G., et al. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehi647 · Cited by 332 · see citing works
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.03.003 · Cited by 327 · see citing works
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Sheldon, R. S., Morillo, C. A., Krahn, A. D., O'Neill, B., Thiruganasambandamoorthy, V., Parkash, R., Talajic, M., Tu, J. V., Seifer, C., Johnstone, D., et al. (2011) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2010.11.002 · Cited by 126 · see citing works
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Shin, T. G., Kim, J. S., Song, H. G., Jo, I. J., Sim, M. S., & Park, S.-J. (2013) · Yonsei Medical Journal · doi:10.3349/ymj.2013.54.5.1110 · Cited by 30 · see citing works
How to differentiate syncope from seizure
Sheldon, R. (2013) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2013.08.004 · Cited by 5 · see citing works
- Authors
- Kenny, R. A.
- Affiliations
- Royal Victoria Infirmary (GB)
- Corresponding author
- Kenny, R. A.
- ORCID
- Kenny, R. A.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-07-01
- Volume
- 31
- Issue
- 4
- Pages
- 272-275
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2141933943
- Cited by
- 130
- References
- 0
- Citations by year
- 2026: 1 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 6 · 2015: 11 · 2014: 6 · 2013: 8 · 2012: 8
- FWCI
- 6.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- syncope, falls, older adults, hospital resource allocation, length of hospital stay, healthcare resource groups, dizziness, gait disturbance, emergency admissions, intermediate care
- MeSH terms
- Accidental Falls, Aged, Emergency Medical Services, Emergency Service, Hospital, Health Services for the Aged, Humans, Syncope, Health Care Costs
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