[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100437115":3},{"organization":4,"armGroups":7,"interventions":13,"overallOfficials":19,"centralContacts":23,"locations":30,"responsibleParty":232,"collaborators":18,"id":235,"slug":236,"hasResults":237,"nctId":238,"briefTitle":239,"officialTitle":240,"acronym":18,"eligibilityCriteria":241,"healthyVolunteers":237,"sex":242,"minAge":243,"maxAge":18,"enrollmentInfo":244,"targetDuration":18,"studyType":247,"phases":248,"briefSummary":250,"conditions":251,"keywords":253,"overallStatus":33,"whyStopped":18,"lastUpdateSubmitDate":256,"lastUpdatePostDateStruct":257,"startDateStruct":260,"completionDateStruct":262,"leadSponsor":264,"locationsCount":265},{"fullName":5,"class":6},"Ottawa Hospital Research Institute","OTHER",[8],{"label":9,"type":6,"description":10,"interventionNames":11},"CSRS practice recommendation","Knowledge translation of the Canadian Syncope Risk Score (CSRS) based practice recommendations",[12],"Other: Knowledge translation (KT) of the CSRS based practice recommendations",[14],{"type":6,"name":15,"description":16,"armGroupLabels":17,"otherNames":18},"Knowledge translation (KT) of the CSRS based practice recommendations","The components of the practice recommendations include: 1) evidence-informed systematic clinical evaluation with appropriate history, physical examination and in-ED investigations (e.g., troponin testing, work-up for pulmonary embolism and CT head) for detecting serious underlying conditions and predicting 30-day serious outcomes; 2) application of the CSRS for risk-stratification at the end of ED visit after no serious underlying conditions for the syncope were identified; 3) use of patient information materials to aid in disposition; and 4) the use of 15-day outpatient cardiac monitoring for CSRS medium and high-risk patients upon ED discharge. All the components of the practice recommendations will be applied by the ED physician treating the patient.",[9],null,[20],{"name":21,"affiliation":5,"role":22},"Venkatesh Thiruganasambandamoorthy, CCFP-EM, MSc","PRINCIPAL_INVESTIGATOR",[24],{"name":25,"role":26,"phone":27,"phoneExt":28,"email":29},"Iris Nguyen, BSc","CONTACT","6137985555","17766","pnguyen@ohri.ca",[31,50,63,78,91,104,117,132,148,161,173,187,199,212,222],{"facility":32,"status":33,"city":34,"state":35,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":38,"geoPoint":43,"contacts":44},"Foothills Medical Centre","RECRUITING","Calgary","Alberta","Canada","CA",{"type":39,"coordinates":40},"Point",[41,42],-114.08529,51.05011,{"lat":42,"lon":41},[45,48],{"name":46,"role":26,"phone":47,"phoneExt":18,"email":18},"Andrew McRae, MD","(403) 944-1110",{"name":49,"role":22,"phone":18,"phoneExt":18,"email":18},"Andrew 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Bay",{"type":39,"coordinates":108},[109,110],-79.46633,46.3168,{"lat":110,"lon":109},[113,116],{"name":114,"role":26,"phone":115,"phoneExt":18,"email":18},"Taylor Lougheed, MD","(705) 474-8600",{"name":114,"role":22,"phone":18,"phoneExt":18,"email":18},{"facility":118,"status":33,"city":119,"state":66,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":120,"geoPoint":124,"contacts":125},"Thunder Bay Regional Health Sicences Centre","Thunder Bay",{"type":39,"coordinates":121},[122,123],-89.25018,48.38202,{"lat":123,"lon":122},[126,128,130],{"name":127,"role":26,"phone":18,"phoneExt":18,"email":18},"Rabail Siddiqui",{"name":129,"role":26,"phone":18,"phoneExt":18,"email":18},"Amanda Bakke",{"name":131,"role":22,"phone":18,"phoneExt":18,"email":18},"David Savage",{"facility":133,"status":33,"city":134,"state":66,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":135,"geoPoint":139,"contacts":140},"University Health 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Hospital","Winchester",{"type":39,"coordinates":165},[166,167],-75.34933,45.0834,{"lat":167,"lon":166},[170,172],{"name":171,"role":26,"phone":18,"phoneExt":18,"email":18},"Mohamed Gazarin",{"name":171,"role":22,"phone":18,"phoneExt":18,"email":18},{"facility":174,"status":33,"city":175,"state":176,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":177,"geoPoint":181,"contacts":182},"Jewish General Hospital","Montreal","Quebec",{"type":39,"coordinates":178},[179,180],-73.58781,45.50884,{"lat":180,"lon":179},[183,185],{"name":184,"role":26,"phone":18,"phoneExt":18,"email":18},"Xiaoqing Xue",{"name":186,"role":22,"phone":18,"phoneExt":18,"email":18},"Lars Grant",{"facility":188,"status":33,"city":175,"state":176,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":189,"geoPoint":191,"contacts":192},"Royal Victoria Hospital & Montreal General 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Lévis",{"type":39,"coordinates":215},[204,205],{"lat":205,"lon":204},[218,221],{"name":219,"role":26,"phone":220,"phoneExt":18,"email":18},"Patrick Archambault, MD","(418) 835-7121",{"name":219,"role":22,"phone":18,"phoneExt":18,"email":18},{"facility":223,"status":33,"city":201,"state":176,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":224,"geoPoint":226,"contacts":227},"Hôpital de L'Enfant-Jésus",{"type":39,"coordinates":225},[204,205],{"lat":205,"lon":204},[228,230],{"name":229,"role":26,"phone":18,"phoneExt":18,"email":18},"Alexandra Nadeau",{"name":231,"role":22,"phone":18,"phoneExt":18,"email":18},"Eric Mercier",{"type":22,"investigatorFullName":233,"investigatorTitle":234,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Venkatesh Thiruganasambandamoorthy","Professor and Senior Scientist","100437115","sw-rct-implementation-of-canadian-syncope-risk-score-based-practice-recommendations-100437115",false,"NCT04972071","SW-RCT Implementation of Canadian Syncope Risk Score Based Practice Recommendations","Multi-Centre Cluster-Randomized Implementation of Canadian Syncope Risk Score Based Practice Recommendations for Emergency Department Syncope Management","Physicians:\n\nInclusion criteria:\n\n* ED physicians involved in ED syncope care\n* Non-ED physicians involved in ED syncope care\n* Physician's delegates involved in ED syncope care\n\nExclusion criteria:\n\n* ED physicians not involved in ED syncope care\n* Non-ED physicians not involved in ED syncope care\n* Physician's delegates not involved in ED syncope care\n\nPatients:\n\nInclusion criteria:\n\n* Patients who are adults (aged \\> 18 years)\n* Patients who present to the ED within 24 hours of syncope.\n\nExclusion criteria:\n\n* Patients who do not fulfill the definition of syncope, namely those with a prolonged loss of consciousness (i.e., \\> 5 minutes), Glasgow Coma Scale \\\u003C 15 in patients without dementia (or a change in the mental status from baseline in those with dementia);\n* Patients with witnessed obvious seizure, or head trauma preceding the loss of consciousness; and those who are unable to provide proper details (e.g., alcohol intoxication or other substance use).\n* Patients who had a serious underlying for the syncope identified during the index ED evaluation and those who were consulted to an inpatient service or hospitalized for reasons other than syncope workup (e.g., social reasons such as inability to cope at home, pain due to the fall, significant trauma).","ALL","18 Years",{"count":245,"type":246},14400,"ESTIMATED","INTERVENTIONAL",[249],"NA","Syncope is a common reason for emergency department (ED) presentation. While often benign, some patients have serious and life-threatening underlying causes, both cardiac and non-cardiac, which may or may not be apparent at the time of the initial ED assessment. Identifying which patients will benefit from further investigation, ongoing monitoring and\u002For hospital admission is essential to reduce both adverse outcomes and high costs. The research team has spent over a decade developing the evidence base for a risk stratification tool directed at optimizing the accuracy of ED decisions: the Canadian Syncope Risk Score (CSRS). This tool is now ready for the final phase of its introduction into clinical practice, namely a robust, multicentre implementation trial of the CSRS-based practice recommendations to demonstrate its real-world effectiveness. These recommendations, if applied, could lead to reduction in hospitalization with only 6% of high-risk patients requiring hospitalization, shorter ED lengths of stay for the 76% of ED syncope patients who are at low risk for 30-day serious outcomes, and more standardized disposition decisions, specifically discharge of 18% of medium-risk patients after appropriate discussion. Hence, the investigators hypothesize that an important reduction in hospitalization and ED disposition time can be achieved by implementing the CSRS-based recommendations with potential improvements in patient safety. The overall objective of this study is to evaluate the effectiveness of the knowledge translation (KT) of the CSRS-based practice recommendations in multiple Canadian EDs using a stepped wedge cluster randomized trial (SW-CRT) on health care efficiency and patient safety.",[252],"Syncope",[252,254,255],"Emergency Department","Risk Stratification","2025-03-24",{"date":258,"type":259},"2025-03-27","ACTUAL",{"date":261,"type":259},"2023-09-18",{"date":263,"type":246},"2026-03-01",{"name":5,"class":6},15]