DIAGNOSTIC APPROACH AND EVALUATION OF SYNCOPE ETIOLOGY IN PATIENTS PRESENTING TO EMERGENCY DEPARTMENT WITH SYNCOPE

Abstract

Author(s): Nikola Yapar, Ertugrul Altinbilek, Derya Ozturk, İbrahim İkizceli, Cemil Kavalci*, Mehmet Emrah Serin, Cilem Caltılı, Burak Celik

Syncope is a rapidly developing and automatically recovering loss of consciousness and tonus, frequently seen in emergency services. We aimed that to evaluete syncope patients presenting to the emergency department and to create recommendations for rapid diagnozis and treatment at clinical approaches according to the results. The study evaluates a total of 310 patients administered to ?i?li Hamidiye Etfal Hospital’s Emergency Medical Clinic between 01/02/2014 and 31/07/2014 due to syncope. The information was recorded in study forms. Average, standard deviation, median, lowest, highest, ratio and frequency values were used in the descriptive statistics of the data. Distribution of variables was checked with Kolmogorov-Smirnov Test. Mann-Whitney U Test was used for the analysis of quantitative data. Chi-Squared Test was used for the analysis of qualitative data. SPSS 22.0 program was used in the Analyses. The syncope etiology was neurocardiogenic in 80 (25.8 %) patients, orthostatic in 46 (14.8 %), cardiogenic in 31 (10 %), neurogenic in 25 (8.1 %), metabolic in 24 (7.7 %) and hypovolemic in 15 (4.9 %). The remaining 89 (28.7 %) patients had syncope of unknown origin. A risk stratification based on SFSR showed that 228 (73.5 %) patients were in the non-risk group while 82 (26.5 %) were in the at-risk group. We believe that the low administration rate of patients, who were administered to our emergency service with high risks according to syncope risk scores, can increase by using risk-scoring systems, and that unnecessary administrations of low-risk patients can be prevented.