October 1, 2002EP EuropaceOpen Access

The application of a standardized strategy of evaluation in patients with syncope referred to three syncope units

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Syncope (n=308). Intervention: Standardized strategy of evaluation based on Italian guidelines. Primary outcome: Unexplained syncope at the end of the work-up.

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Key result

Standardized syncope diagnostic strategy leaves the mechanism unexplained in only 18% of patients.

n=308

Why the study?

Does a standardized guideline-based evaluation strategy efficiently diagnose the cause of syncope in referred patients?

Population

308 consecutive patients with syncope referred to three Syncope Units, mean age 61 +/- 20 years, median of…

Design

Cohort

Authors

FCFrancesco Croci

Discussion

Member takes

Overview

May enhance diagnostic yield in syncope units; leaves open generalizability beyond specialized centers.

Study Design

Type

Observational (n=308)

Multicenter

Yes

Structured PICO

Does a standardized guideline-based evaluation strategy efficiently diagnose the cause of syncope in referred patients?

Population

308 consecutive patients with syncope (mean age 61 years) referred to three Syncope Units.

Exposure

Standardized strategy of evaluation based on the guidelines of Italian 'Associazione Nazionale Medici Cardiologi Ospedalieri' (initial evaluation consisting of history, physical examination, supine and upright blood pressure, and ECG, followed by targeted tests based on initial findings).

Outcome

Applicability of guidelines and their impact on the use of diagnostic tests (diagnostic yield and number of tests needed).

Applying standardized guideline-based criteria for syncope evaluation allows for effective diagnosis using few simple tests, leaving only 18% of cases unexplained.

Cite This Study

Francesco Croci (2002) conducted an observational in Syncope (n=308). Standardized strategy of evaluation based on Italian guidelines was evaluated on Unexplained syncope at the end of the work-up. Application of a standardized diagnostic strategy for syncope left the mechanism unexplained in only 18% of patients, with initial evaluation alone being diagnostic in 23%.

synapsesocial.com/papers/6aa265c474fc654bd03230ba https://doi.org/10.1053/eupc.2002.0267

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October 1, 2002EP EuropaceOpen Access

The application of a standardized strategy of evaluation in patients with syncope referred to three syncope units

View Full Paper

Ask AI

Bookmark

Key result

Standardized syncope diagnostic strategy leaves the mechanism unexplained in only 18% of patients.

n=308

Why the study?

Does a standardized guideline-based evaluation strategy efficiently diagnose the cause of syncope in referred patients?

Population

308 consecutive patients with syncope referred to three Syncope Units, mean age 61 +/- 20 years, median of…

Design

Cohort

Authors

FCFrancesco Croci

Discussion

Member takes

Overview

May enhance diagnostic yield in syncope units; leaves open generalizability beyond specialized centers.

Study Design

Type

Observational (n=308)

Multicenter

Yes

Structured PICO

Does a standardized guideline-based evaluation strategy efficiently diagnose the cause of syncope in referred patients?

Population

308 consecutive patients with syncope (mean age 61 years) referred to three Syncope Units.

Exposure

Outcome

Applicability of guidelines and their impact on the use of diagnostic tests (diagnostic yield and number of tests needed).

Applying standardized guideline-based criteria for syncope evaluation allows for effective diagnosis using few simple tests, leaving only 18% of cases unexplained.

Cite This Study

synapsesocial.com/papers/6aa265c474fc654bd03230ba https://doi.org/10.1053/eupc.2002.0267

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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