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SW-RCT Implementation of Canadian Syncope Risk Score Based Practice Recommendations

RecruitingNAAges 18 Years - anyAllOttawa Hospital Research Institute
NCT04972071 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

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/or 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 le

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📋 Eligibility rules (as published)
Physicians: Inclusion criteria: * ED physicians involved in ED syncope care * Non-ED physicians involved in ED syncope care * Physician's delegates involved in ED syncope care Exclusion criteria: * ED physicians not involved in ED syncope care * Non-ED physicians not involved in ED syncope care * Physician's delegates not involved in ED syncope care Patients: Inclusion criteria: * Patients who are adults (aged \> 18 years) * Patients who present to the ED within 24 hours of syncope. Exclusion criteria: * Patients who do not fulfill the definition of syncope, namely those with a prolonged loss of consciousness (i.e., \> 5 minutes), Glasgow Coma Scale \< 15 in patients without dementia (or a change in the mental status from baseline in those with dementia); * 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). * 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).
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What it tests

  • Knowledge translation (KT) of the CSRS based practice recommendations
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Where

15 sites
Foothills Medical Centre
Calgary, Canada
St. Boniface Hospital
Winnipeg, Canada
Health Sicence North
Greater Sudbury, Canada
Hawkesbury and District General Hospital
Hawkesbury, Canada
London Health Sciences Centre
London, Canada
North Bay Regional Health Centre
North Bay, Canada
Thunder Bay Regional Health Sicences Centre
Thunder Bay, Canada
University Health Network
Toronto, Canada

…and 7 more on ClinicalTrials.gov.

🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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