Cited by 109Cardiovascular Syncope and Autonomic DisordersVestibular and auditory disordersClinical Reasoning and Diagnostic Skills

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Does the use of a syncope diagnostic protocol improve the investigation and management of syncope?

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Farwell, D J, Sulke, A N·2004·Heart

DOI 10.1136/heart.90.1.52PMC PMC1768011

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Abstract

Objectives: To assess the efficacy of a protocol designed to improve the diagnosis and management of syncope. Design: Prospective outcome analysis of all patients presenting with syncope for the 12 month period from 1 November 2000 to 31 October 2001, compared with a retrospective study of all patients presenting with syncope during the calendar year 1998. Use of the protocol commenced in September 2000. Setting: Eastbourne District General Hospital, serving a population of approximately 250 000; 25% are older than 65 years. Subjects: 421 consecutive patients presenting with syncope, investigated prospectively in January 2000 and compared with 660 patients retrospectively analysed for the calendar year 1998. Results: In 1998, 71% of patients with syncope received a diagnostic classification. In January 2000 there was an appropriate diagnostic hypothesis for every patient. Ultimately a diagnosis was made for 78% of patients according to accepted criteria (p = 0.003). Use of tests with the highest diagnostic effectiveness, such as tilt tests, increased in 2001 and many tests were used more appropriately (such as echocardiography). However, non-diagnostic tests were still frequently used (such as chest radiography, electroencephalography, and carotid Doppler studies). Costs of investigation and hospital stay rose from £611 to £1384 (€874 to €1980) per patient (p < 0.001), with cost per diagnosis increasing from £870 (€1245) in 1998 to £1949 (€2790) (p < 0.001). Conclusion: The syncope protocol improved diagnosis and the use of appropriate investigations. However, significant inappropriate investigation and hospital admission still occurred. The protocol allowed reliable triage of syncopal patients into high and low risk groups.

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Incidence and Prognosis of Syncope
Soteriades, E. S., Evans, J. C., Larson, M. G., Chen, M. H., Chen, L., Benjamin, E. J., & Levy, D. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa012407 · Cited by 1,364
Guidelines on management (diagnosis and treatment) of syncope
Brignole, M. (2001) · European Heart Journal · doi:10.1053/euhj.2001.2739 · Cited by 951
A Prospective Evaluation and Follow-up of Patients with Syncope
Kapoor, W. N., Karpf, M., Wieand, S., Peterson, J. R., & Levey, G. S. (1983) · New England Journal of Medicine · doi:10.1056/nejm198307283090401 · Cited by 779
Evaluation and Outcome of Patients with Syncope
KAPOOR, W. N. (1990) · Medicine · doi:10.1097/00005792-199005000-00004 · Cited by 539
Diagnostic value of history in patients with syncope with or without heart disease
Alboni, P., Brignole, M., Menozzi, C., Raviele, A., Del Rosso, A., Dinelli, M., Solano, A., & Bottoni, N. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01241-4 · Cited by 444
Mechanism of Syncope in Patients With Isolated Syncope and in Patients With Tilt-Positive Syncope
Moya, A., Brignole, M., Menozzi, C., Garcia-Civera, R., Tognarini, S., Mont, L., Botto, G., Giada, F., Cornacchia, D., & on behalf of the International Study on Syncope of Uncertain Etiology (ISSUE) Investigators (2001) · Circulation · doi:10.1161/hc3601.095708 · Cited by 378
Words Without Action? The Production, Dissemination, And Impact Of Consensus Recommendations
Lomas, J. (1991) · Annual Review of Public Health · doi:10.1146/annurev.pu.12.050191.000353 · Cited by 361
Epidemiologic features of isolated syncope: the Framingham Study.
Savage, D. D., Corwin, L., McGee, D., Kannel, W. B., & Wolf, P. A. (1985) · Stroke · doi:10.1161/01.str.16.4.626 · Cited by 361
Prospective evaluation and outcome of patients admitted for syncope over a 1 year period
Blanc, J. (2002) · European Heart Journal · doi:10.1053/euhj.2001.2975 · Cited by 303
Impairment of physical and psychosocial function in recurrent syncope
Linzer, M., Pontinen, M., Gold, D. T., Divine, G. W., Felder, A., & Blair Brooks, W. (1991) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(91)90005-t · Cited by 296

Show all 35 references

Research works printed but not linked: 7

1980, S Afr Med J, 57, 771
1962, Aerosp Med, 33, 545
1983, N Y State J Med, 83, 1161
2002, J Cardiovasc Electrophysiol, 13, S9
1999, G Ital Cardiol, 29, 533
1986, J Gen Intern Med, 1, 706
2002, J Cardiovasc Electrophysiol, 13, S114

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Neurally‐Mediated Reflex Syncope: Recognition by History and Clinical Testing
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Diagnostic approaches to syncope in Internal Medicine Departments and their effect on mortality
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Common high-risk presentations in the elderly
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Update on syncope in the older person – a clinical review
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Ambulatory postural blood pressure changes and history allow a better selection of patients that should undergo a head-up tilt test
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Role of Syncope Management Units
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Analysis of Demography and Clinical Profile of Syncope in Children
Geminiganesan, S. (2011)
Síncope como forma de debut de la estenosis mitral
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Syncope management facilities
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Authors: Farwell, D. J., & Sulke, A. N.
Affiliations: Eastbourne District General Hospital (GB)
Corresponding author: Sulke, A N
Venue: Heart
Publisher: BMJ
Published: 2003-12-15
Volume: 90
Issue: 1
Pages: 52-58
ISSN: 1355-6037 (ISSN-L)
1468-201X
DOI: 10.1136/heart.90.1.52
PMC: PMC1768011
OpenAlex: W2013795906
Cited by: 109
References: 35
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 10 · 2016: 1 · 2015: 3 · 2014: 7 · 2013: 8 · 2012: 7
FWCI: 4.47
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Heart (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
Keywords: syncope, diagnostic protocol, syncope diagnosis, diagnostic workup, tilt table test, echocardiography, hospital costs, risk stratification, syncope management
MeSH terms: Aged, Clinical Protocols, Echocardiography, England, Hospitals, District, Humans, Length of Stay, Prospective Studies, Retrospective Studies, Sensitivity and Specificity, Syncope, Electrocardiography, Ambulatory, Hospital Costs, Tilt-Table Test

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Does the use of a syncope diagnostic protocol improve the investigation and management of syncope?

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