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November 30, 2009EP EuropaceOpen Access

Prospective multicentre systematic guideline-based management of patients referred to the Syncope Units of general hospitals

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Key result

Guideline-based Syncope Unit management establishes a diagnosis in ~82% of referred patients.

  • n=941

Why the study?

Does systematic guideline-based management in Syncope Units effectively diagnose the cause of syncope in referred patients?

Population

941 consecutive patients referred to the Syncope Units of nine general hospitals

Design

Cohort

Authors

MBMichele BrignoleAUAndrea UngarICIvo Casagranda

Discussion

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Overview

May support Syncope Unit evaluation for most patients; observational data leave optimal strategies for unexplained cases open to prospective study.

Study Design

Type

Observational (n=941)

Multicenter

Yes

Structured PICO

Does systematic guideline-based management in Syncope Units effectively diagnose the cause of syncope in referred patients?

P
Population
941 consecutive patients referred to Syncope Units of nine general hospitals over a 6-month period.
E
Exposure
Systematic guideline-based management of syncope (based on 2004 ESC guidelines)
O
Outcome
Diagnostic yield and causes of syncope

Implementation of the ESC syncope management model in specialized facilities yields a diagnosis in over 80% of patients, though complex, higher-risk cases often remain unexplained.

Cite This Study

Brignole et al. (2009) conducted an observational in Syncope (n=941). Guideline-based management in Syncope Units was evaluated on Establishment of syncope diagnosis. Guideline-based management in Syncope Units established a diagnosis in 82% of referred patients, while 18% remained unexplained despite a mean of 3.5 tests per patient.

synapsesocial.com/papers/6aa4c88e44102162aeaa26echttps://doi.org/10.1093/europace/eup370
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Also Consider

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

  1. 1A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to general hospitals2005 · 339 citations
  2. 2Management of syncope referred urgently to general hospitals with and without syncope units2003 · 121 citations
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  5. 5The application of a standardized strategy of evaluation in patients with syncope referred to three syncope units2002 · 105 citations