title: [Emergency referrals for syncopes - is an ambulatory treatment safe?].
abstract: Patients after syncopy arrive frequently in an emergency unit. Two scoring systems have been validated for clinical decision making, use of diagnostic methods and need for hospitalisation. Goal of the study was quality control of ambulatory treatment of syncope patients in a University Emergency Department. 200 consecutive patients with syncope were documented, 109 of whom followed by phone-call during two years. The decision for hospitalisation or ambulatory treatment was up to the treating doctor. Age-distribution was biphasic: female sex mainly below the age 25, from 55 to 75 predominantly men. Etiology of syncope remained unclear for the majority of cases, a few neurologic (n=3) or cardiac (n=5) reasons were found with treatment consequences.
authors.affiliation: Universitäres Notfallzentrum, Inselspital Bern.
authors.forename: Simone
authors.initials: S
authors.lastname: Haltmeier
authors.forename: Gregor
authors.initials: G
authors.lastname: Lindner
authors.forename: Aristomenis Konstantinos
authors.initials: AK
authors.lastname: Exadaktylos
authors.forename: Monika
authors.initials: M
authors.lastname: Haberkern
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D003430:Cross-Sectional Studies; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D012720:Severity of Illness Index; D012985:Software Design; D011795:Surveys and Questionnaires; D013557:Switzerland; D013575:Syncope / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult