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<title>Limited yield of hospitalization for the evaluation of syncope in patients presenting to an urban tertiary medical center - The American Journal of Emergency Medicine</title>
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                    </div><section id="ab0010" class="articleHighlights"><h2 class="sectionTitle">Highlights</h2><div class="content"><p><ul class="ce-list" id="l0005"><li id="u0005"><span class="label">•</span>We examine the inpatient evaluation of syncope after non-diagnstic ED evaluation.</li><li id="u0010"><span class="label">•</span>We retrospectively reviewed consecutive presentations to the 2nd busiest ED in U.S.</li><li id="u0015"><span class="label">•</span>The etiology for syncope remained undiagnosed in 74% after an ED evaluation.</li><li id="u0020"><span class="label">•</span>Diagnosis was made in 15% with acute intervention in 1% of these inpatients.</li><li id="u0025"><span class="label">•</span>Admission for an unclear etiology of syncope is of low-yield.</li></ul></p></div></section><div class="abstract"><h2 class="sectionTitle">Abstract</h2><p>Syncope is a frequent presenting complaint in the emergency department and is associated with significant medical costs. We examined the utility of inpatient evaluation of syncope for patients in whom a diagnosis was not established in the emergency department. We retrospectively reviewed consecutive patients presenting with syncope to an urban tertiary care medical center. A diagnosis was not established after initial evaluation in the emergency department in 171 of 230 patients admitted. Inhospital evaluation led to a diagnosis in 26 patients. Acute intervention was required in 2 patients. Our observations suggest that an inpatient evaluation of syncope for patients in whom a diagnosis is not made on initial evaluation is of low yield, and outpatient follow-up may be safe.</p></div><div class="content"></div><div class="denialInfo">
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