Is hospital admission valuable in managing syncope? Results from the STePS study
Open accessAbstract
The proper way to test the usefulness of hospitalization in syncope patients would be to conduct a randomized controlled trial. However, this approach is characterized by major theoretical and ethical limitations which make this procedure unfeasible. Data from observational studies indirectly show that hospitalization might help reduce the short-term risk of death and adverse events by promptly identifying and treating life-threatening events or conditions. Future research should focus on identifying which patients will benefit from hospitalization. In this regard, we should be able both to correctly risk-stratify patients and to analyze syncope observation units and protocols, which may provide a safe alternative for the evaluation of intermediate-risk patients.
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It is unknown whether a patient's prognosis is affected by syncope or by other co-morbidities.
“It is unknown if hospitalization can reduce adverse events in patients with unexplained syncope, nor it is known if a patient's prognosis is affected by syncope or by other co-morbidities. 12”
From Syncope clinical management in the emergency department: a consensus from the first international workshop on syncope risk stratification in the emergency department (2016) · cites this paper as [12]
The section “Evidences of effectiveness of hospital admission in syncope patients” (page unavailable) reports similar one-year mortality in matched patients with and without syncope. It says underlying heart disease and patient vulnerability predict long-term mortality regardless of syncope, rather than presenting the distinction as unknown. (LLM, conf=0.86)
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Experimental — accuracy not yet measuredIt is unknown whether hospitalization can reduce adverse events in patients with unexplained syncope.
“It is unknown if hospitalization can reduce adverse events in patients with unexplained syncope, nor it is known if a patient's prognosis is affected by syncope or by other co-morbidities. 12”
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References 28 · Cited by 16
Research works printed but not linked: 1
- [2]2. Montori VM. Publication bias may explain the (lack of) review's findings. BMJ. N.p., 23-12-2003. Web. 28-8-2014. http://www. bmj.com/rapid-response/2011/10/30/publication-bias-may-expla- in-lack-reviews-findings.
- Authors
- Costantino, G., Dipaola, F., Solbiati, M., Bulgheroni, M., Barbic, F., & Furlan, R.
- Affiliations
- University of Milan (IT)
- Fondazione Humanitas per la Ricerca (IT)
- ORCID
- Venue
- Cardiology Journal
- Publisher
- VM Media SP. zo.o VM Group SK
- Published
- 2014-12-18
- Volume
- 21
- Issue
- 6
- Pages
- 606-610
- ISSN
- 1897-5593 (ISSN-L)
- 1898-018X
- OpenAlex
- W2335374916
- Cited by
- 16
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2021: 3 · 2020: 1 · 2019: 1 · 2017: 3 · 2016: 2 · 2015: 2
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cardiology Journal (publishedVersion)
- PubMed (publishedVersion)
- Via Medica Journals (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Keywords
- syncope, hospitalization, risk stratification, intermediate-risk patients, observational studies, randomized controlled trial limitations, adverse events
- MeSH terms
- Aged, Emergency Service, Hospital, Humans, Male, Patient Admission, Syncope, Disease Management, Young Adult
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