Quality-of-Life, Health Service Use, and Costs Associated With Syncope

被引:59
作者
Sun, Benjamin C. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Emergency Med, Portland, OR 97239 USA
关键词
Syncope; Quality-of-life; Health sevices; Costs; IMPLANTABLE LOOP RECORDERS; EMERGENCY ROOM PATIENTS; TRANSIENT LOSS; VASOVAGAL SYNCOPE; PRELIMINARY VALIDATION; EXTERNAL VALIDATION; DIAGNOSTIC PATTERNS; MANAGEMENT; IMPACT; YIELD;
D O I
10.1016/j.pcad.2012.10.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Syncope is a prevalent condition that is associated with high morbidity, health service use, and costs. Syncope negatively impacts multiple domains of quality-of-life, including physical health, mental health, and functional status. The morbidity associated with recurrent syncope is equivalent to chronic conditions such as severe rheumatoid arthritis and low back pain. Frequency of syncope events is related to worse morbidity, suggesting that effective diagnosis and management can improve quality-of-life. There is a high incidence of health service use associated with syncope, including 740,000 annual emergency department visits and 460,000 hospital admissions in the United States. Rates of admission and inpatient diagnostic testing are characterized by high variance and low clinical utility. Finally, the evaluation of syncope is associated with high costs. Hospital costs associated with the inpatient evaluation of syncope exceed $2.4 billion per year in the United States. Improved diagnostic and treatment algorithms are urgently needed to improve patient quality-of-life, reduce health service use, and lower costs related to the evaluation of syncope. © 2013 Elsevier Inc.
引用
收藏
页码:370 / 375
页数:6
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