Outcomes of Patients With Syncope and Suspected Dementia.

摘要: Objectives Syncope and near-syncope are common in patients with dementia a leading cause of emergency department (ED) evaluation subsequent hospitalization. The objective this study was to describe the clinical trajectory short-term outcomes who presented ED syncope or were assessed by their provider have dementia. Methods This multisite prospective cohort included 60 years age older between 2013 2016. We analyzed subcohort 279 identified treating baseline collected comprehensive patient-level, utilization, data through interviews, surveys, chart abstraction. Outcome measures serious conditions related death. Results Overall, 221 (79%) hospitalized median length stay 2.1 days. A total 46 (16%) diagnosed condition ED. Of 179 did not ED, 14 (7.8%) subsequently during hospitalization, an additional 12 (6.7%) postdischarge within 30 days index visit. There seven deaths (2.5%) overall, none which cardiac-related. No discharged from died had Conclusions Patients perceived frequently hospitalized. diagnosis uncommon if initial assessment. Given known iatrogenic risks hospitalization for dementia, future investigation impact goals care discussions on reducing potentially preventable, futile, unwanted hospitalizations while improving goal-concordant is warranted.