Home > News > 73/Predictors of mortality following syncope hospitalisation in a single tertiary teaching hospital
Read Time: < 1 min

73/Predictors of mortality following syncope hospitalisation in a single tertiary teaching hospital

Published Online: October 3rd 2008 European Journal of Arrhythmia & Electrophysiology. 2019;5(Suppl. 1):abstr73
Authors: A Adlan (Presenting Author) - University Hospital Coventry, Coventry, UK; H Eftekhari - University Hospital Coventry, Coventry, UK; G Paul - University Hospital Coventry, Coventry, UK; S Hayat - Heart Hospital Hamad Medical Corporation, Doha, Qatar; F Osman - University Hospital Coventry, Coventry, UK
Quick Links:
Article Information

Background: Syncope results in significant patient morbidity, healthcare burden and can be associated with increased mortality. The reported mortality risk following syncope hospitalisation is highly variable, ranging from 2–13 % at 1 year.

Purpose: We sought to determine the 1-year mortality risk in patients discharged with a primary diagnosis of syncope at University Hospital Coventry and identify potential predictors.

Methods: Patients discharged with a primary diagnosis of syncope (ICD-10 ’R55‘) between 2012 and 2017 were identified using hospital database records. Baseline demographics, relevant comorbidities (derived from secondary diagnoses ICD-10 codes at time of admission) and admission-related data were analysed. Syncope clinic attendance was determined using outpatient clinic codes. Date of death was obtained from National Health Service digital records and used to determine 1-year all-cause mortality. Cox-proportional regression analysis was performed to identify significant predictors.

Results: In total, 2,950 patients were identified (median age 73 years, range 53–84 yrs, 51% male). Comorbidities included hypertension (38%), ischaemic heart disease (17%), diabetes (16%), atrial fibrillation (AF) (12%), chronic obstructive pulmonary disease (COPD) (5%) heart failure (4%) and epilepsy (3%). Common discharging specialties included general medicine (51%), emergency medicine (18%) and cardiology (12%). The majority of patients were admitted for ≥1 day (59%). One-year mortality was 11%. Independent predictors of 1-year-mortality included older age (HR 1.033, 95 % CI 1.026–1.041), AF (HR 1.60, 1.2–2.1), heart failure (HR 2.2, 1.6–3.0) and COPD (HR 1.9, 1.4–2.7). Predictors of reduced mortality risk included discharging specialty of cardiology (HR 0.4, 0.2–0.6) and outpatient Syncope Clinic attendance post-discharge (HR 0.3, 0.1–0.6).

Conclusions: Syncope hospitalisation was associated with significant mortality. In our cohort of patients hospitalised with syncope, advanced age and comorbidities (heart failure, AF and COPD) were independent predictors of increased mortality risk. Cardiology input during admission and in Syncope Clinic post-discharge was associated with lower mortality risk.

Article Information:

Further Resources

Share this Article
Related Content In Arrhythmia
43/Cardiac tamponade as a complication of transseptal puncture: associations and operatordependent variables during left atrial ablation at Barts Heart Centre
E Maclean (Presenting Author) - St Bartholomew’s Hospital, London; K Mahtani - St Bartholomew’s Hospital, London; C Butcher - St Bartholomew’s Hospital, London; N Ahluwalia - St Bartholomew’s Hospital, London; M Finlay - St Bartholomew’s Hospital, London; S Honarbakhsh - St Bartholomew’s Hospital, London; A Creta - St Bartholomew’s Hospital, London; A Chow - St Bartholomew’s Hospital, London; V Sawhney - St Bartholomew’s Hospital, London; V Ezzat - St Bartholomew’s Hospital, London; MJ Earley - St Bartholomew’s Hospital, London; M Dhinoja - St Bartholomew’s Hospital, London; S Sporton - St Bartholomew’s Hospital, London; MD Lowe - St Bartholomew’s Hospital, London; PD Lambiase - St Bartholomew’s Hospital, London; F Khan - St Bartholomew’s Hospital, London; SY Ahsan - St Bartholomew’s Hospital, London; RJ Hunter - St Bartholomew’s Hospital, London; RJ Schilling - St Bartholomew’s Hospital, London; O Sega - St Bartholomew’s Hospital, London Read Time: 2 mins

European Journal of Arrhythmia & Electrophysiology. 2021;7(Suppl. 1):abstr43

Introduction: Cardiac tamponade is a high morbidity complication of transseptal puncture (TSP). We examined the incidence and predictors of TSP-related cardiac tamponade (TRCT) for all patients undergoing left atrial ablation at our centre from 2016-2020. Methods: Patient and procedural variables were extracted retrospectively. Cases of cardiac tamponade were scrutinised to adjudicate TSP culpability. Adjusted multivariate […]

  • Copied to clipboard!
    accredited arrow-down-editablearrow-downarrow_leftarrow-right-bluearrow-right-dark-bluearrow-right-greenarrow-right-greyarrow-right-orangearrow-right-whitearrow-right-bluearrow-up-orangeavatarcalendarchevron-down consultant-pathologist-nurseconsultant-pathologistcrosscrossdownloademailexclaimationfeedbackfiltergraph-arrowinterviewslinkmdt_iconmenumore_dots nurse-consultantpadlock patient-advocate-pathologistpatient-consultantpatientperson pharmacist-nurseplay_buttonplay-colour-tmcplay-colourAsset 1podcastprinter scenerysearch share single-doctor social_facebooksocial_googleplussocial_instagramsocial_linkedin_altsocial_linkedin_altsocial_pinterestlogo-twitter-glyph-32social_youtubeshape-star (1)tick-bluetick-orangetick-red tick-whiteticktimetranscriptup-arrowwebinar Department Location NEW TMM Corporate Services Icons-07NEW TMM Corporate Services Icons-08NEW TMM Corporate Services Icons-09NEW TMM Corporate Services Icons-10NEW TMM Corporate Services Icons-11NEW TMM Corporate Services Icons-12Salary £ TMM-Corp-Site-Icons-01TMM-Corp-Site-Icons-02TMM-Corp-Site-Icons-03TMM-Corp-Site-Icons-04TMM-Corp-Site-Icons-05TMM-Corp-Site-Icons-06TMM-Corp-Site-Icons-07TMM-Corp-Site-Icons-08TMM-Corp-Site-Icons-09TMM-Corp-Site-Icons-10TMM-Corp-Site-Icons-11TMM-Corp-Site-Icons-12TMM-Corp-Site-Icons-13TMM-Corp-Site-Icons-14TMM-Corp-Site-Icons-15TMM-Corp-Site-Icons-16TMM-Corp-Site-Icons-17TMM-Corp-Site-Icons-18TMM-Corp-Site-Icons-19TMM-Corp-Site-Icons-20TMM-Corp-Site-Icons-21TMM-Corp-Site-Icons-22TMM-Corp-Site-Icons-23TMM-Corp-Site-Icons-24TMM-Corp-Site-Icons-25TMM-Corp-Site-Icons-26TMM-Corp-Site-Icons-27TMM-Corp-Site-Icons-28TMM-Corp-Site-Icons-29TMM-Corp-Site-Icons-30TMM-Corp-Site-Icons-31TMM-Corp-Site-Icons-32TMM-Corp-Site-Icons-33TMM-Corp-Site-Icons-34TMM-Corp-Site-Icons-35TMM-Corp-Site-Icons-36TMM-Corp-Site-Icons-37TMM-Corp-Site-Icons-38TMM-Corp-Site-Icons-39TMM-Corp-Site-Icons-40TMM-Corp-Site-Icons-41TMM-Corp-Site-Icons-42TMM-Corp-Site-Icons-43TMM-Corp-Site-Icons-44TMM-Corp-Site-Icons-45TMM-Corp-Site-Icons-46TMM-Corp-Site-Icons-47TMM-Corp-Site-Icons-48TMM-Corp-Site-Icons-49TMM-Corp-Site-Icons-50TMM-Corp-Site-Icons-51TMM-Corp-Site-Icons-52TMM-Corp-Site-Icons-53TMM-Corp-Site-Icons-54TMM-Corp-Site-Icons-55TMM-Corp-Site-Icons-56TMM-Corp-Site-Icons-57TMM-Corp-Site-Icons-58TMM-Corp-Site-Icons-59TMM-Corp-Site-Icons-60TMM-Corp-Site-Icons-61TMM-Corp-Site-Icons-62TMM-Corp-Site-Icons-63TMM-Corp-Site-Icons-64TMM-Corp-Site-Icons-65TMM-Corp-Site-Icons-66TMM-Corp-Site-Icons-67TMM-Corp-Site-Icons-68TMM-Corp-Site-Icons-69TMM-Corp-Site-Icons-70TMM-Corp-Site-Icons-71TMM-Corp-Site-Icons-72