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Short- and Long-Term Prognosis of Syncope, Risk Factors, and Role of Hospital Admission

Results From the STePS (Short-Term Prognosis of Syncope) Study

Giorgio Costantino, MD^_*, Francesca Perego, MD^_*, Franca Dipaola, MD^_*, Marta Borella, MD^_*, Andrea Galli, MD^_*, Giulia Cantoni, MD, Simonetta Dell’Orto, MD, Simonetta Dassi, MD, Nicola Filardo, MD^_*, Pier Giorgio Duca, MD^||, Nicola Montano, MD, PhD^_*, Raffaello Furlan, MD^_*,_* on behalf of the STePS Investigators

^_* Syncope Unit, Internal Medicine II, "L. Sacco" Hospital, University of Milan, Milan, Italy
Emergency Medicine, "Fatebenefratelli" Hospital, Milan, Italy
Cardiology, "Uboldo" Hospital, Cernusco s. Naviglio, Milan, Italy
Internal Medicine, "S. Corona" Hospital, Garbagnate Milanese, Milan, Italy
^|| Medical Statistics, Institute of Clinical Science "L.Sacco," University of Milan, Milan, Italy.

View larger version (14K): [in this window] [in a new window] [Download PPT slide]   Figure 1 Flow Diagram of the Screened and Enrolled Population Flow diagrams of the enrolled population and short-term and 1-year follow up.

View larger version (6K): [in this window] [in a new window] [Download PPT slide]   Figure 2 Survival Curves of Patients Admitted to the Hospital and Discharged From the ED Comparison of 1-year survival curves of patients admitted to hospital and discharged from the emergency department (ED). Notice that patients admitted to hospital after syncope had greater (p > 0.0001, log-rank test) rates of mortality than discharged subjects. These differences were also confirmed when adjusting for long-term risk factors.