open access

Vol 21, No 6 (2014)
Review paper
Published online: 2014-12-18
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Is hospital admission valuable in managing syncope? Results from the STePS study

Giorgio Costantino, Franca Dipaola, Monica Solbiati, Mara Bulgheroni, Franca Barbic, Raffaello Furlan
DOI: 10.5603/CJ.a2014.0071
·
Cardiol J 2014;21(6):606-610.

open access

Vol 21, No 6 (2014)
Review articles
Published online: 2014-12-18

Abstract

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.

Abstract

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.

Get Citation

Keywords

syncope, hospitalization, observation units, risk stratification

About this article
Title

Is hospital admission valuable in managing syncope? Results from the STePS study

Journal

Cardiology Journal

Issue

Vol 21, No 6 (2014)

Article type

Review paper

Pages

606-610

Published online

2014-12-18

DOI

10.5603/CJ.a2014.0071

Bibliographic record

Cardiol J 2014;21(6):606-610.

Keywords

syncope
hospitalization
observation units
risk stratification

Authors

Giorgio Costantino
Franca Dipaola
Monica Solbiati
Mara Bulgheroni
Franca Barbic
Raffaello Furlan

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