Citation

Wolff C, Petkar S. J. Comp. Eff. Res. 2020; ePub(ePub): ePub.

Copyright

(Copyright © 2020, Future Medicine)

DOI

10.2217/cer-2020-0059

PMID

32639168

Abstract

AIM: The study assesses the burden and costs of recurring unexplained syncope and injuries and the effectiveness of implantable loop recorders.

METHODS: The English national hospital database (Hospital Episode Statistics) was retrospectively analyzed.

RESULTS: 12,002 patients were identified with repeated syncope hospitalizations. 25% of patients were hospitalized at least once again for syncope, 9% of the patients were hospitalized at least once for an injury, causing substantial costs. In the second analysis: 10,902 patients implanted with an implantable cardiac monitor were tracked. By year 3, hospitalizations due to syncope had dropped by 60% versus pre-implantable cardiac monitor (ICM) levels.

Conclusion: This study shows a high rate of recurrent syncope admissions and a parallel burden of hospitalizations for injuries. Use of an ICM appears to reduce syncope hospitalizations.

Language: en

Keywords

injuries; falls; guidelines; costs; implantable loop recorder; recurrent syncope