Syncope Risk Stratification in the ED: Another Step Forward

Abstract

Syncope, defined as a transient loss of consciousness attributable to global cerebral hypoperfusion, remains a common and complex chief complaint in emergency departments (ED).¹ Although accounting for <2% of all ED presentations, roughly 40% of such patients are subsequently admitted costing more than $2.4 billion in the US alone.^2,3,4 Currently, there is no evidence that current admission patterns improve long-term quality-of-life or survivability, furthering the concern over economic cost with low diagnostic and therapeutic benefit.^1,4-7

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