In Hospital 24 Hour Observation of Syncope Patients
ConditionSyncope
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
About this trial
Syncope is very common and has a broad differential diagnosis. Guidelines on syncope recommend to apply guideline based syncope algorithm (SA) to identify low- / intermediate risk syncope patients and recommend to discharge these patients. The time window when to discharge these patients is not defined in the guidelines. In current medical practice low- / intermediate risk syncope patients are either immediately discharged or discharged after 24-hour observation with telemetry (TM). There seems to be an equipoise for both treatment strategies in current medical practice for these low risk syncope patients. A randomized controlled trial to compare discharge after 24 hour observation including TM with immediate discharge has never been done on the Cardiac Emergency Room (CER).
Eligibility criteria
Qualifiers
Complete and thorough history taking of the syncope event and past medical history
Physical examination including supine and standing BP measurement and
12 lead ECG.
Disqualifiers
Those aged <18 years
Those in whom syncope / transient loss of consciousness co-exist 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
Those with any other conditions then syncope / transient loss of consciousness for which admission is required (including social indication for admission, etc.)
Contraindication for early discharge as the discretion of the responsible physician
Trial design
Treatments tested in this trial
- holter
Treatment groups
640 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov