The availability and the adherence to pediatric guidelines for the management of syncope in the emergency department

Umberto Raucci, Simona Scateni, Alberto Eugenio Tozzi, Fabrizio Drago, Ugo Giordano, Michela Marcias, Francesca Faa, Antonino Reale

Research output: Contribution to journalArticle

Abstract

Objective To evaluate the impact of the 2009 Italian pediatric clinical guidelines on the management of syncope.

Study design A retrospective study of patients who presented to the Emergency Department (ED) of Bambino Gesù Children's Hospital with syncope during the 2 years before and then for 2 years after the establishment of the Italian pediatric clinical guidelines. Implementation of the clinical guidelines included educational seminars, additional training of health care workers, and the availability of clinical guidelines and its algorithms on ED examination rooms.

Results We studied a population of 1073 patients (n = 470 vs n = 603). Most patients had neurocardiogenic syncope with a greater increase in postimplementation period (n = 241, 51.3% vs n = 454, 49.8%); we also noticed a parallel reduction of the number of patients with undefined syncope (30% vs 8.3%). We observed an increase in electrocardiogram (n = 328, 69.8% vs n = 512, 85.1%; P

Conclusions Providing practitioners in the ED with age-oriented clinical guidelines increased the efficiency of clinical management of pediatric syncope. Our study demonstrated that the implementation of pediatric clinical guidelines on syncope improve diagnosis, reduce hospital admissions, and decrease the use of unnecessary diagnostic tests.

Original languageEnglish
Pages (from-to)967-972.e1
JournalJournal of Pediatrics
Volume165
Issue number5
DOIs
Publication statusPublished - Nov 1 2014

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

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