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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
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20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
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Syncope in a large Portuguese Nationwide inpatient sample – epidemiology and in-hospital costs
Session:
Painel 4- Arritmologia 3
Speaker:
Sergio Matoso Laranjo
Congress:
CPC 2020
Topic:
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
Theme:
34. Public Health and Health Economics
Subtheme:
34.3 Health Economics
Session Type:
Posters
FP Number:
---
Authors:
Sérgio Laranjo; Inês Joaquim; Mário Martins Oliveira
Abstract
<h3><em>Aims: </em></h3> <h3><em>Syncope is a common symptom in the general population, with frequent emergency care visits, often followed by hospital admission. Although most of the causes are of benign origin, some comorbidities are accompanied by high mortality.</em></h3> <p><em>AIm: to describe the epidemiologic characteristics of a population hospitalized after syncopal episode(s) in Portugal, and estimate associated costs for patients (P) undergoing a hospital-based evaluation for unexplained syncope.</em></p> <h3><em>Methods</em></h3> <p><em>The nationwide inpatient sample of Portugal of the years 2000 to 2015 was used for this analysis. P with syncope (ICD9-code 780.2) were stratified by presence of selected comorbidities. We collected complete health services data, including etiology, diagnostic testing, procedures performed and length of stay (LOS), on paediatric and adult P who were admitted with syncope in the national health care system hospitals.</em></p> <h3><em>Results</em></h3> <p><em>In total, 43920 hospitalizations of P with syncope were identified. A steady increase in the number of admissions, from 746 in 2000, to a plateau of approximately 6200 new admissions per year from 2013 onwards was seen. A bimodal age distribution was found, with a first peak around 10-19 years old (with female predominance), and a second peak at 70-79 years of age (with male predominance). While paediatric P (<18 years old) had few comorbidities (6% of the cases), adult P revealed frequent comorbidities, predominantly cardiovascular disorders (56%) such as cardiac arrhythmias (34%), cardiomyopathies (20%) and heart failure </em><em>(%?).</em></p> <p><em>At average, each P performed 5.45 diagnostic procedures (range 1-20) as inpatient, namely ECG in 73%, head computed tomography (45%), echocardiography (35%), Holter recording (22%) and EEG (14%). The average cost of a syncope event with </em><em>hospital admission </em><em>ranged between 650€ and 4029€ (cost range from 45€ to 41100€).</em></p> <h3><em>Conclusions</em></h3> <p><em>Syncope is a common cause for referrals in emergency care, often with cardiovascular co-morbidities in adults, leading to hospital admissions. Estimated costs associated with extensive evaluation may reach very high values. Therefore, further research is needed to risk stratify P, identify predictors of costs and define adequate diagnosis strategies.</em></p>
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