NICE Guideline 'Red Flags' to Predict Serious Outcome After Transient Loss of Consciousness
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Purpose
This study is designed to evaluate the accuracy of the National Institute for Health and Clinical Excellence (NICE) guideline 'red flags' to identify patients at high risk of short term serious outcome when presenting in the emergency department (ED) with Transient Loss of Consciousness (TLoC). Red flags were defined as ECG abnormality, history or physical signs of heart failure, TLoC during exercise, family history of sudden cardiac death at an age < 40 years and/or an inherited cardiac condition, new or unexplained breathlessness, heart murmur, absence of prodromal symptoms in any patient aged > 65 years.
| Condition |
|---|
|
Syncope |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | NICE Guideline 'Red Flags' to Predict Serious Outcome After Transient Loss of Consciousness: Prospective Validation Study in the Emergency Department. |
- serious outcome [ Time Frame: day 7 ]death, myocardial infarction, arrhythmias, pulmonary embolism, stroke or transient ischemic attack, subarachnoid or non traumatic cerebral haemorrhage, aortic dissection, new diagnosis of structural heart disease thought to be related to syncope, and significant haemorraghe or anemia requiring blood transfusion, readmission for similar symptoms related to the initial event and acute intervention during hospital admission
- serious outcome [ Time Frame: 1 year ]death, myocardial infarction, arrhythmias, pulmonary embolism, stroke or transient ischemic attack, subarachnoid or non traumatic cerebral haemorrhage, aortic dissection, new diagnosis of structural heart disease thought to be related to syncope, and significant haemorraghe or anemia requiring blood transfusion, readmission for similar symptoms related to the initial event and acute intervention during hospital admission
| Estimated Enrollment: | 490 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Adult patients (>= 16 years) presenting in the ED with a complaint of TLoC
Inclusion Criteria:
- Adult patients (>= 16 years) with a complaint of TLoC
Exclusion Criteria:
- Patients needing immediate treatment, with trauma related or drug or alcohol related TLoC were excluded, as well as patient with persistent altered level of consciousness, simple fall and drop attack
Contacts and Locations| Contact: Peter Vanbrabant, MD | 003216343952 | peter.vanbrabant@uzleuven.be |
| Belgium | |
| University Hospitals Leuven | |
| Leuven, Belgium | |
More Information
Additional Information:
No publications provided
| Responsible Party: | Universitaire Ziekenhuizen Leuven |
| ClinicalTrials.gov Identifier: | NCT01498471 History of Changes |
| Other Study ID Numbers: | UZ/PVB/2011 |
| Study First Received: | December 20, 2011 |
| Last Updated: | December 22, 2011 |
| Health Authority: | Belgium: Ethics Committee |
Additional relevant MeSH terms:
|
Syncope Unconsciousness Consciousness Disorders Neurobehavioral Manifestations |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013