Syncope fainting loss of consciusness
Conditions
Interventions
The study consists of two phases. The first phase is the initial evaluation in
the ED, the second phase is the follow-up in the outpatient department. The
initial evaluation will be done twice, firs
Sponsors
Acute interne geneeskunde
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • The patient must be 18 years or older. • The reason for referral to the emergency department must be (pre-) syncope. • The patient must be able to stand for 5 minutes with little assistance.
Exclusion criteria
Exclusion criteria: • The patient is not able to stand for 5 minutes (with little assistance) • The patient is hemodynamically instable (with supine resting SBP
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter at the initial evaluation in the ED is the difference between the proportion of correct working diagnosis made by the attending physician and by the investigator. For the follow-up at the outpatient department the main study parameter is the difference in (pre-) syncope recurrence during the 1 year follow-up in comparison with the previous year. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters for the initial evaluation in the ED is: • The difference between the proportion of correct working diagnosis in the patients of group 1, before and after the evaluation with Nexfin The secondary study parameters for the follow-up at the outpatient department are: • Quality of life after one year of follow-up • Falls history of the past year in comparison with the follow-up year in patients of 60 years and older • The recovery to normalisation of the orthostatic blood pressure recovery patterns • 30 days mortality, one year mortality For all secondary study parameters from the follow-up there will be a sub analysis between the group with Nexfin measurement and the blinded Nexfin measurement. | — |
Countries
Netherlands
Outcome results
None listed