Cochrane · systematic review · CD011637

Implantable loop recorder versus conventional diagnostic workup for unexplained recurrent syncope

Solbiati, M, Costantino, G, Casazza, G, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
2
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 71.4%Very low 1 · 14.3%Low 0 · 0%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings for the main comparison. Implantable loop recorder versus conventional diagnostic workup for unexplained recurrent syncope

Population: people with unexplained recurrent syncope
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause short‐term mortality
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
no estimate extracted0 participantsUngraded
All‐cause long‐term mortality
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
RR 0.97 [0.41, 2.3]2 studies · 255 participantsVery low
Downgraded: risk of bias
Other adverse events
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
no estimate extracted2 studies · 447 participantsUngraded
Quality of life
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
no estimate extracted2 studies · 279 participantsUngraded
Syncope relapse
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
no estimate extracted3 studies · 507 participantsUngraded
Economic costs
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
no estimate extracted2 studies · 261 participantsUngraded
Aetiologic diagnosis
Summary of findings for the main comparison. Implantable loop recorder vs conventional diagnostic workup
RR 0.61 [0.54, 0.68]4 studies · 579 participantsModerate
Downgraded: risk of bias