Your browser doesn't support javascript.
loading
Early use of an implantable loop recorder in syncope evaluation: a randomized study in the context of the French healthcare system (FRESH study).
Podoleanu, Cristian; DaCosta, Antoine; Defaye, Pascal; Taieb, Jérôme; Galley, Daniel; Bru, Paul; Maury, Philippe; Mabo, Philippe; Boveda, Serge; Cellarier, Gilles; Anselme, Frédéric; Kouakam, Claude; Delarche, Nicolas; Deharo, Jean-Claude.
Afiliación
  • Podoleanu C; University of Medicine and Pharmacy, Târgu Mures, Romania.
  • DaCosta A; CHU Nord, Saint-Étienne, France.
  • Defaye P; CHU La Tronche, Grenoble, France.
  • Taieb J; Centre hospitalier Aix-en-Provence, Aix-en-Provence, France.
  • Galley D; Centre hospitalier Albi, Albi, France.
  • Bru P; Centre hospitalier La Rochelle, La Rochelle, France.
  • Maury P; CHU Rangueil, Toulouse, France.
  • Mabo P; CHU Pontchaillou, Rennes, France.
  • Boveda S; Clinique Pasteur, Toulouse, France.
  • Cellarier G; HIA Sainte-Anne, Toulon, France.
  • Anselme F; CHU Charles-Nicolle, Rouen, France.
  • Kouakam C; CHRU de Lille, Lille, France.
  • Delarche N; Centre hospitalier Pau, Pau, France.
  • Deharo JC; Cardiologie 9(e) étage, CHU La Timone, 263, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address: jean-claude.deharo@ap-hm.fr.
Arch Cardiovasc Dis ; 107(10): 546-52, 2014 Oct.
Article en En | MEDLINE | ID: mdl-25241220
BACKGROUND: The role of implantable loop recorders (ILRs) in the evaluation strategy for recurrent syncope in France is limited by lack of knowledge of the cost. AIM: To compare a conventional evaluation strategy for syncope with the early use of an ILR in low-risk patients, in terms of diagnostic yield, cost and impact on quality of life (QoL). METHODS: National prospective randomized open-label multicenter study of patients with a single syncope (if severe and recent) or at least two syncopes in the past year. RESULTS: Seventy-eight patients (32 men) were randomized to the ILR strategy (ILR group, n=39) or the conventional evaluation strategy (CONV group, n=39): mean age 66.2±14.8 years; 4.3±6.4 previous syncopes. After 14 months of follow-up, a certain cause of syncope was established in 18 (46.2%) patients in the ILR group and two (5%) patients in the CONV group (P<0.001). Advanced cardiological tests were performed less frequently in the ILR group than in the CONV group (0.03±0.2 vs. 0.2±0.5 tests per patient; P=0.05). Patients in the ILR group were hospitalized for a non-significantly shorter period than patients in the CONV group (5.7±3.2 vs. 8.0±1.4 days). There was no difference between the two groups in terms of QoL main composite score. CONCLUSION: In patients with unexplained syncope, the early use of an ILR has a superior diagnostic yield compared with the conventional evaluation strategy, with lower healthcare-related costs.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síncope / Desfibriladores Implantables / Atención a la Salud / Diagnóstico Precoz Tipo de estudio: Clinical_trials / Diagnostic_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Arch Cardiovasc Dis Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síncope / Desfibriladores Implantables / Atención a la Salud / Diagnóstico Precoz Tipo de estudio: Clinical_trials / Diagnostic_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Arch Cardiovasc Dis Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Países Bajos