Implementation of Syncope Algorithms in the Dutch emergency departments: an interventional trial

The SYNERGY study. Syncope algorithms in the emergency department with structured follow-up. How effective is a standardised approach at improving diagnostic yield, quality of life and decreasing health care costs?

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON21713

Enrollment

720

Registered

2016-08-07

Start date

2017-03-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

syncope, transient loss of consciousness, algorithm

Interventions

SA implementation has multiple components: - ED triage resulting in admission, outpatient or GP referral - Innovative multilingual communication system facilitating active patient participation to

Eligibility

Inclusion criteria

Inclusion criteria: Emergency department presentation becasuse of suspected syncope

Exclusion criteria

Exclusion criteria: (1) Those aged <18 years (2) Those in whom a serious life threatening condition is identified in the ED (massive bleeding, pulmonary embolus) (3) Those who attended any ED because of syncope in the previous year

Design outcomes

Primary

Measure	Time frame
- Proportion of cases with an accurate diagnosis (as determined by the expert panel at 1 year follow-up)	—

Secondary

Measure	Time frame
- Healthcare costs within 1 year following ED presentation. - Time to a certain/highly likely diagnosis following ED presentation - Number of diagnostic tests performed - Number of syncope-related consultations (ED, outpatient & GP visits) - Proportion of cases with recurrent syncope - Syncope-related healthcare costs within 1 year following ED presentation. - Quality of Life (QoL) measures (Syncope Function Scal(SFS) & EQ-5D-5L) during 1 year after ED presentation.	—

Measure

Time frame

- Healthcare costs within 1 year following ED presentation. - Time to a certain/highly likely diagnosis following ED presentation - Number of diagnostic tests performed - Number of syncope-related consultations (ED, outpatient & GP visits) - Proportion of cases with recurrent syncope - Syncope-related healthcare costs within 1 year following ED presentation. - Quality of Life (QoL) measures (Syncope Function Scal(SFS) & EQ-5D-5L) during 1 year after ED presentation.

—

Contacts

Public ContactR.D. Thijs

Department Neurology - Leiden University Medical Centre

r.d.thijs@lumc.nl071-5262895

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)