24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825
Fax: (361)578-5500

Medical Disorders
Resources
Basic InformationLookupsLatest News
Are Disinfectants Putting Nurses at Risk of COPD?Fat Collects in Lungs, Raising Asthma RiskDrug Limits Damage of Brain InjuryMore Patients With Heart Disease Die at Home Than in HospitalYour Noisy Knees May Be Trying to Tell You SomethingHealth Tip: 10 Ways to Reduce Injury RiskIs That Statin Doing You Any Good?Surgery Helps Tough-to-Treat Acid RefluxBrain Damage From Concussion Evident a Year LaterFor Kids With Genetic Condition, Statins May Be LifesaversNext-Gen Artificial Pancreas Boosts Blood Sugar ControlAHA News: Lowering Blood Pressure May Prevent New Brain Lesions in Older PeopleBladder Drug Can Cause Eye Damage: StudyGood News, Bad News on Concussions in High School SportsSteroid Shots for Painful Joints May Make Matters WorseHealth Tip: Broken Toe CareSleep Apnea Linked to Diabetic Eye DiseaseChildhood Risk Factors Can Predict Adult ObesityHealth Tip: Gum Disease Risk FactorsPut Safety First When Planning to Pack Food-to-GoA Parent's Guide to Managing Kids' Asthma During the FallWhat Foods Are Most Likely to Cause Acne Breakouts?Vision Problems Strike More Than 2 Billion GloballyLight Smoking Causes More Lung Damage Than Once Suspected: StudyHealth Tip: Choking First AidBy Mid-Century, Heat Waves Could Cover Far Bigger AreasGet Vaccinated Before Flu Takes Hold: CDCClose to 1,300 Cases of Vaping-Linked Illness Now IdentifiedMore Years of Football, Higher Odds for Brain Disease LaterPain Relief: When to Use Cold, When to Use HeatAHA News: High Triglycerides Caused a Diet Change – at Age 10Humans May Possess Ability to Regrow CartilageHealth Tip: Recognizing Bedbug Bites'Smartphone Slouching' More Serious Than It SoundsAHA News: What's Your Sense of Purpose? The Answer May Affect Your HealthDeep Brain Stimulation May Relieve Ringing in the Ears: StudyWhat Are the Risks of Pain Relief Alternatives to Opioids?Many ICU Admissions May Be Preventable, Large Study SuggestsCause of Paralyzing Illness in Kids Remains ElusiveFlu Season Is Coming: Here's How to Protect YourselfSinus Infections: What You Need to KnowFewer Teeth, Higher Risk of Heart Disease?Fungal Invasion May Drive Some Pancreatic CancersHealth Tip: Lowering Your Resting Heart RateYour Washer Might Be Breeding Drug-Resistant GermsCan Your Eating Habits Keep Alzheimer's at Bay?Prescription Opioids Linked to Poor Outcomes in Kidney PatientsCases of Serious Vaping-Linked Lung Injury Now Top 1,000Organic Chicken Less Likely to Harbor a Dangerous 'Superbug'Running the Numbers on High Blood Pressure
Questions and AnswersLinks
Related Topics

Diabetes

You've Fainted. How Long Do You Need to Stay in the ER?

HealthDay News
by -- Robert Preidt
Updated: Feb 4th 2019

new article illustration

THURSDAY, Jan. 31, 2019 (HealthDay News) -- How long patients who faint should be monitored in the emergency department hinges on their risk for serious disease, a new study says.

In most cases, fainting is harmless. But some people faint due to serious medical conditions, including an irregular heartbeat (arrhythmia). Because arrhythmias can come and go, patients are sometimes kept in the emergency department (ED) for eight to 10 hours.

But only a small percentage of patients seen for fainting suffer a dangerous irregular heartbeat, heart attack or death within a month, the study found.

"Before this study we didn't know which fainting patients needed to be monitored in the Emergency Department, and how long they needed to be monitored. We didn't know who needed to be hospitalized in order to catch life-threatening conditions," said lead author Dr. Venkatesh Thiruganasambandamoorthy.

"Now we have answers to these questions that will help improve patient care, and potentially reduce ED wait times and hospital admissions," he said.

Thiruganasambandamoorthy is an emergency physician and scientist at the Ottawa Hospital in Canada.

For this study, his team used a standardized tool to rank arrhythmia risk for nearly 5,600 patients seen in six Canadian emergency rooms after fainting.

Seventy-four percent were deemed low-risk; 19 percent, medium-risk, and 7 percent, high-risk.

Within a month of visiting the ED, 3.7 percent of patients (207) suffered an arrhythmia.

Arrhythmias were identified within two hours of arrival at the ED for low-risk patients, and within six hours for others.

Researchers concluded that most fainting patients are low-risk and therefore, can be sent home after two hours without further monitoring.

Doctors can decide whether to admit medium- and high-risk patients to the hospital after six hours. They should consider a patient's overall health, ability to cope at home, injuries and need for further monitoring, the study said.

The study said medium- and high-risk patients can benefit from home heart rhythm monitoring for 15 days after leaving the ED. Nine out of 10 arrhythmias among that group were identified within that time frame, researchers said.

The study was recently published in the journal Circulation.

More information

The American Academy of Family Physicians has more on fainting.