TY - JOUR PY - 2020// TI - Burden of recurrent syncope and injuries and the usefulness of implantable cardiac monitors: insights from a nationwide longitudinal cohort analysis JO - Journal of comparative effectiveness research A1 - Wolff, Claudia A1 - Petkar, Sanjiv SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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

LA - en SN - 2042-6305 UR - http://dx.doi.org/10.2217/cer-2020-0059 ID - ref1 ER -