Standardized Care Pathway Versus Conventional Approach in the Management of Patients Presenting with Faint at the University of Utah
Abstract
Background Despite the availability of guidelines, the evaluation of patients with faint continues to be inconsistent. The purpose of this study was to test the hypothesis that utilization of a new standardized-care pathway (Faint-Algorithm) reduces hospital admissions and improves diagnostic yield when compared to the conventional approach in the evaluation of patients with faint. Methods We reviewed the data of 154 consecutive patients presenting with faint to the Faint and Fall Clinic at the University of Utah (standardized group) and 100 patients previously evaluated for faint using the conventional approach (conventional group). Results Using a standardized approach, only 4% of patients were admitted when compared to 20% in the conventional group (P Conclusions The use of a standardized approach in the evaluation of patients with faint decreased the number of hospital admissions and increased the rate of diagnosis at 45 days. This was achieved with less utilization of costly tests and consultations.
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Decision support algorithms may reduce health service use in the evaluation of syncope.
“Decision support algorithms may reduce health service use in the evaluation of syncope (Figures 1 and 2) (105,111–113), although there are currently insufficient data to advocate the use of specific decision support algorithms for making disposition decisions.”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [113]
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Diagnosis and characteristics of syncope in older patients referred to geriatric departments
Ungar, A., Mussi, C., Del Rosso, A., Noro, G., Abete, P., Ghirelli, L., Cellai, T., Landi, A., Salvioli, G., Rengo, F., et al. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00891.x · Cited by 127 · see citing works
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2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Heart Rhythm · doi:10.1016/j.hrthm.2017.03.004 · Cited by 484 · see citing works
Self-citation2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.03.003 · Cited by 327 · see citing works
Self-citationPodoleanu, C., DaCosta, A., Defaye, P., Taieb, J., Galley, D., Bru, P., Maury, P., Mabo, P., Boveda, S., Cellarier, G., et al. (2014) · Archives of Cardiovascular Diseases · doi:10.1016/j.acvd.2014.05.009 · Cited by 93 · see citing works
Edvardsson, N., Wolff, C., Tsintzos, S., Rieger, G., & Linker, N. J. (2015) · Europace · doi:10.1093/europace/euu412 · Cited by 29 · see citing works
- Authors
- SANDERS, N. A., JETTER, T. L., BRIGNOLE, M., & HAMDAN, M. H.
- Affiliations
- University of Utah (US)
- Presidio Ospedaliero (IT)
- University of Wisconsin–Madison (US)
- Corresponding author
- HAMDAN, MOHAMED H.
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2012-10-25
- Volume
- 36
- Issue
- 2
- Pages
- 152-162
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W1750586560
- Cited by
- 29
- References
- 2
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 2
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- syncope, standardized care pathway, syncope evaluation, hospitalization reduction, diagnostic yield, cost reduction, guideline adherence
- MeSH terms
- Academic Medical Centers, Female, Hospitalization, Humans, Male, Middle Aged, Syncope, Utah, Prevalence, Risk Assessment, Critical Pathways
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