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Related Experiment Videos

Falling down and falling out: management and outcome analysis.

Laurel Omert1, Sam Zakhary, Richard Wilson

  • 1Department of Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

The Journal of Trauma
|January 30, 2004
PubMed
Summary
This summary is machine-generated.

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Syncope workups in trauma patients were inconsistently performed, leading to interventions despite unclear benefits. Protocols are being developed to standardize assessment for falls secondary to syncope.

Area of Science:

  • Geriatric Medicine
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Compares syncope-related falls in young (<65) and elderly (>=65) trauma patients.
  • Investigates the appropriateness and utility of syncope workups in fall evaluations.
  • Examines if diagnostic workups lead to changes in patient management.

Purpose of the Study:

  • To evaluate syncope workup practices in trauma patients who fall.
  • To determine if syncope workups provide new diagnostic information.
  • To assess the impact of syncope workups on patient management and outcomes.

Main Methods:

  • Retrospective review of 387 trauma patients admitted to a Level I trauma center.
  • Analysis of injury mechanisms, comorbidities, severity scores, and syncope workup details.

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  • Outcome variables included mortality, length of stay, and management changes.

    • Main Results:

    • Elderly fall patients had higher Injury Severity Scores, mortality, and longer hospital stays.
    • No difference in injury severity or outcomes for falls secondary to syncope.
    • Abnormal syncope workup results occurred in 37.8% of patients, prompting interventions.

    Conclusions:

    • Syncope workups were inconsistently applied in both age groups.
    • Abnormal findings from syncope workups frequently led to interventions.
    • New institutional protocols aim to standardize syncope assessment in trauma fall patients.