{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:42:33Z","timestamp":1789206153387,"version":"build-2803163510"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"18","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,9,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Syncope accounts for 0.6% to 1.5% of hospitalizations in the United States. We sought to determine the causes and predictors of 30\u2010day readmission in patients with syncope.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We identified 323\u00a0250 encounters with a primary diagnosis of syncope\/collapse in the 2013\u20132014 Nationwide Readmissions Database. We excluded patients younger than 18\u00a0years, those discharged in December, those who died during hospitalization, hospital transfers, and those whose length of stay was missing. We used multivariable logistic regression analysis to evaluate the association between baseline characteristics and 30\u2010day readmission. A total of 282\u00a0311 syncope admissions were included. The median age was 72\u00a0years (interquartile range, 58\u201383), 53.9% were women, and 9.3% had 30\u2010day readmission. The most common cause of 30\u2010day readmissions was syncope\/collapse, followed by cardiac, neurological, and infectious causes. Characteristics associated with 30\u2010day readmissions were age 65\u00a0years and older (odds ratio [OR], 0.7; 95% confidence interval [\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              ], 0.6\u20130.7), female sex (OR, 0.9; 95% CI, 0.8\u20130.9), congestive heart failure (OR, 1.5; 95% CI, 1.2\u20131.9), atrial fibrillation\/flutter (OR, 1.3; 95% CI, 1.3\u20131.4), diabetes mellitus (OR, 1.2; 95% CI, 1.2\u20131.3), coronary artery disease (OR, 1.2; 95% CI, 1.2\u20131.3), anemia (OR, 1.4; 95% CI, 1.4\u20131.5), chronic obstructive pulmonary disease (OR, 1.4; 95% CI, 1.3\u20131.4), home with home healthcare disposition (OR, 1.5; 95% CI, 1.5\u20131.6), leaving against medical advice (OR, 1.7; 95% CI, 1.6\u20131.9), length of stay of 3 to 5 days (OR, 1.5; 95% CI, 1.4\u20131.6) or &gt;5\u00a0days (OR, 2; 95% CI, 1.8\u20132), and having private insurance (OR, 0.6; 95% CI, 0.6\u20130.7).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">The 30\u2010day readmission rate after syncope\/collapse was 9.3%. We identified causes and risk factors associated with readmission. Future prospective studies are needed to derive risk\u2010stratification models to reduce the high burden of readmissions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.009746","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T15:02:17Z","timestamp":1537110137000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Causes and Predictors of 30\u2010Day Readmission in Patients With Syncope\/Collapse: A Nationwide Cohort Study"],"prefix":"10.1161","volume":"7","author":[{"given":"Amer N.","family":"Kadri","sequence":"first","affiliation":[{"name":"Cleveland Clinic Foundation Cleveland OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Abuamsha","sequence":"additional","affiliation":[{"name":"St. Vincent Charity Medical Center\u2014Case Western Reserve University Cleveland OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leen","family":"Nusairat","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Cleveland OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazih","family":"Kadri","sequence":"additional","affiliation":[{"name":"ICCE\/Jordan Hospital Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussam","family":"Abuissa","sequence":"additional","affiliation":[{"name":"Creighton University Omaha NE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Masri","sequence":"additional","affiliation":[{"name":"University of Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian V.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"University of Connecticut\/Hartford Hospital Evidence\u2010Based Practice Center Hartford CT"},{"name":"School of Medicine Universidad Peruana de Ciencias Aplicadas (UPC) Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490180085031"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.08.024"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.12.030"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2004.11.013"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13479"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_3_1_8_2","unstructured":"Centers for Medicare & Medicaid Services . FY 2018 IPPS final rules: Hospital Readmission Reduction Program supplemental data files. Available at: https:\/\/www.cms.gov\/medicare\/medicare-fee-for-service-payment\/acuteinpatientpps\/readmissions-reduction-program.html. Accessed April 24 2018."},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.08.654"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.08.059"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2016.11.005"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2012.12.001"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e3182459957"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2016.02.017"},{"key":"e_1_3_1_15_2","unstructured":"Overview of the Nationwide Readmissions Database (NRD) . Healthcare Cost and Utilization Project web site. Available at: https:\/\/www.hcup-us.ahrq.gov\/nrdoverview.jsp. 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