Syncope
Conditions
Brief summary
Among Kaiser Permanente Northern California (KPNC) health plan members, age ≥16 years, with recent syncope and presyncope undergoing emergency department (ED) management with a point-of-care clinical decision support (CDS) tool, how well does the Canadian Syncope Risk Score predict 30-day serious outcomes that were not evident during index ED evaluation?
Interventions
OTHERComprehensive ED syncope/presyncope management tool
This is a data-only, prospective observational cohort study to validate the performance metrics of the Canadian Syncope Risk Score in a diverse population of patients evaluated in community EDs of a U.S. integrated health care system.
Sponsors
Kaiser Permanente
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Inclusion criteria
* Age ≥16y * Member of Kaiser Permanente Northern California (KPNC) health plan * Presentation to the ED with an ED diagnosis of recent syncope or presyncope (\<24h) without a serious etiology identified during the initial ED diagnostic assessment, that is, patients with unexplained syncope. * Subjects who meet criteria will be identified electronically within the CDS tool in the electronic health record.
Exclusion criteria
* Age \<16 years old * Non-members of KPNC * Patients with obvious witnessed seizure, prolonged loss of consciousness (\>5 minutes), post-traumatic loss of consciousness, and new mental status changes * Patients requiring hospitalization for traumatic injuries (e.g., syncope leading to motorized vehicle collision), because their outcomes may be related to trauma rather than syncope * Patients with impaired communication capacity, e.g., intoxication, language barriers, and dementia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with arrhythmic and nonarrhythmic serious outcomes | 30 days | Serious outcomes include those which are arrhythmic (arrhythmias, interventions for arrhythmia, or unknown cause of death) and nonarrhythmic (e.g., myocardial infarction, structural heart disease, pulmonary embolism, or hemorrhage) |
Countries
United States
Outcome results
None listed