Syncope T-LOC Fainting
Conditions
Interventions
The immediate discharge of ESC guideline based low- and intermediate-risk stratified syncope patients on the (cardiac) emergency department compared to 24-hour in-hospital rhythm observation
Sponsors
Universiteit van Amsterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All patients with low risk- and intermediar risk syncope presented on the Cardiac Emergency Care, will be eligible for the study.
Exclusion criteria
Exclusion criteria: (1) Those aged <18 years (2) Those in whom syncope / transient loss of consciousness co-exisits with trauma or other serious condition identified in the CER (massive bleeding, pulmonary embolus) or any high-risk features upon assessment with guideline based SA (see appendix 2) (3) Those with any other conditions then syncope / transient loss of consciousness for which admission is required (including social indication for admission, etc.) (4) Contraindication for early discharge at the discretion of the responsible physician (5) Those with a learning disability (6) Those presenting with pre-syncope (7) Those who are unwilling to provide informed consent (those will be asked to be enrolled for the SYNCOPE R.I.S.C - registry)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary: (non-)fatal serious adverse events in both arms (non-inferiority) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary: healthcare costs and hospital utilization (superiority), proportion of additional diagnoses in both treatment arms after 24 hrs and 7 days of ambulant holter monitoring and QoL during 1 month after presentation on ED. | — |
Countries
Netherlands
Contacts
Public ContactT.T. Boel
Universiteit van Amsterdam
Outcome results
None listed