Risk Stratification of Older Adults Who Present to the Emergency Department With Syncope: The FAINT Score.

ABSTRACT:

Study objective

Older adults with syncope are commonly treated in the emergency department (ED). We seek to derive a novel risk-stratification tool to predict 30-day serious cardiac outcomes.

Methods

We performed a prospective, observational study of older adults (≥60 years) with unexplained syncope or near syncope who presented to 11 EDs in the United States. Patients with a serious diagnosis identified in the ED were excluded. We collected clinical and laboratory data on all patients. Our primary outcome was 30-day all-cause mortality or serious cardiac outcome.

Results

We enrolled 3,177 older adults with unexplained syncope or near syncope between April 2013 and September 2016. Mean age was 73 years (SD 9.0 years). The incidence of the primary outcome was 5.7% (95%

SUBMITTER: Probst MA 

PROVIDER: S-EPMC6981063 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature