Key result
Guideline-based ED syncope protocol linked to ~20% more high-risk patient admissions.
Why the study?
Recent ACC and ESC guidelines recommend inpatient evaluation for syncope patients with high-risk cardiac features, but adherence and cost-effectiveness of initial evaluation are unclear.
Does the introduction of a guideline-based syncope protocol in the emergency department improve guideline adherence and appropriate hospital admissions in adult patients presenting with syncope?
Population
60 adult patients admitted for syncope from the ED in October 2016 and October 2018
Comparison
Before vs after introduction of guideline-based syncope protocol in the ED
Design
Retrospective cohort study
Authors
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Guideline-based syncope protocols may safely reduce hospitalizations; extends ACC/ESC recommendations into real-world emergency practice.
Observational (n=60)
Does the introduction of a guideline-based syncope protocol in the emergency department improve guideline adherence and appropriate hospital admissions in adult patients presenting with syncope?
Absolute Event Rate: 82.1% vs 68.7%
Implementing a guideline-based syncope protocol in the emergency department improves the proportion of appropriate, high-risk admissions.
Shaukat et al. (2020) conducted an observational in Syncope (n=60). Guideline-based syncope protocol vs. Before protocol introduction (October 2016) was evaluated on Proportion of high-risk patients admitted. Introduction of a guideline-based syncope protocol in the ED improved the proportion of high-risk patients admitted from 68.7% to 82.1%.
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