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Management of syncope: clinical and economic impact of a Syncope Unit Ammirati F; Colaceci R; Cesario A; Strano S; Della Scala A; Colangelo I; De Santo T; Toscano E; Ricci R; Santini MEuropace 2008[Apr]; 10 (4): 471-6AIMS: Aim of this observational study is to evaluate the clinical performance of a Syncope Unit, in order to assess whether the implemented organization really improves syncope management. METHODS AND RESULTS: The study enrolled patients with unexplained syncope who were consecutively referred to our Syncope Unit, either as outpatients or during hospitalization, in a 2-month period. The design of this observational study consists in three phases: a retrospective analysis of their clinical management in the 9 months prior to the first attendance at the Syncope Unit (phase one), their subsequent clinical management in the Syncope Unit (phase two) and a 9-month follow-up (phase three). The retrospective analysis of phase one showed that 25% of patients had already been hospitalized without diagnosis. After Syncope Unit evaluation, diagnosis was obtained in 82% of patients, with 15% of patients indicated to pacing. In the follow-up, 23% of patients experienced a syncopal recurrence. Our analysis indicated an 85% reduction of hospital costs in the follow-up period. CONCLUSION: The clinical and economic analysis of the three phases of our study demonstrates that a Syncope Unit allows an improved management of patients with syncope.|Adult[MESH]|Aged[MESH]|Clinical Audit[MESH]|Costs and Cost Analysis[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Guidelines as Topic[MESH]|Hospital Units/*economics/organization & administration[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Pacemaker, Artificial[MESH]|Recurrence[MESH]|Retrospective Studies[MESH]|Syncope/*diagnosis/economics/*therapy[MESH] |
