E-ISSN 2367-699X | ISSN 2367-7414
 
2023, Vol: 9, Issue: 5
9 / 5Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Original Research

Online Publishing Date:
14 / 02 / 2020

 


Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt

Adel Hamed Elbaih, Mohamed S Elsakaya, Bassant Sayed Abdallah, Hanan Mohamed Kamal.


Abstract
Introduction: one of the common clinical problem is a syncope in the emergency department (ED), accounting for 1- 6% of the hospital admissions and 0.5-3% of ED visits. Multiple studies revealed that no applied guidelines in evaluations for syncope result in low diagnostic yield and high costs when compared to evaluations that follow standardized guidelines protocol.
Aim: to improve management processes and the outcome of syncope patients by implementation of European society guidelines (published in 2009) in ED.
Methods: the study is Interventional study included 90 Patients for each group attending Emergency Department in Xs hospitals with syncope (loss of postural tone lead to transient loss of consciousness, which caused by diffuse cerebral ischemia , usually associated with spontaneous, rapid and complete recovery).
With follow-up short outcome for 7 days and meets inclusion and exclusion criteria.
Results: in pre-implementation of the guidelines group. 40% of the studied patients discharged, 60% admitted, 44.4% equally admitted at cardiology and neurology departments and the outcome 53.3% did not have any adverse events within 7 days follow up. While 73.3% of the studied patients post-implementation discharged, 26.7% admitted. 100% admitted at cardiology department and 73.3% did not have any adverse events.
Conclusion: The number of appropriate discharges and admission higher in post- implementation group than in pre-implementation group. The dangerous complications in the appropriately discharged group was significantly lesser than in the appropriately admitted group.

Key words: Syncope, guidelines, Fate


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Adel Hamed Elbaih
Articles by Mohamed S Elsakaya
Articles by Bassant Sayed Abdallah
Articles by Hanan Mohamed Kamal
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Elbaih AH, Elsakaya MS, Abdallah BS, Kamal HM. Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. Int J Surg Med. 2020; 6(1): 1-10. doi:10.5455/ijsm.syncope-risk-stratification

Web Style

Elbaih AH, Elsakaya MS, Abdallah BS, Kamal HM. Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. https://www.ejos.org/?mno=59374 [Access: February 20, 2024]. doi:10.5455/ijsm.syncope-risk-stratification

AMA (American Medical Association) Style

Elbaih AH, Elsakaya MS, Abdallah BS, Kamal HM. Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. Int J Surg Med. 2020; 6(1): 1-10. doi:10.5455/ijsm.syncope-risk-stratification


Vancouver/ICMJE Style

Elbaih AH, Elsakaya MS, Abdallah BS, Kamal HM. Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. Int J Surg Med. (2020), [cited February 20, 2024]; 6(1): 1-10. doi:10.5455/ijsm.syncope-risk-stratification


Harvard Style

Elbaih, A. H., Elsakaya, . M. S., Abdallah, . B. S. & Kamal, . H. M. (2020) Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. Int J Surg Med, 6 (1), 1-10. doi:10.5455/ijsm.syncope-risk-stratification


Turabian Style

Elbaih, Adel Hamed, Mohamed S Elsakaya, Bassant Sayed Abdallah, and Hanan Mohamed Kamal. 2020. Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. International Journal of Surgery and Medicine, 6 (1), 1-10. doi:10.5455/ijsm.syncope-risk-stratification


Chicago Style

Elbaih, Adel Hamed, Mohamed S Elsakaya, Bassant Sayed Abdallah, and Hanan Mohamed Kamal. "Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt." International Journal of Surgery and Medicine 6 (2020), 1-10. doi:10.5455/ijsm.syncope-risk-stratification


MLA (The Modern Language Association) Style

Elbaih, Adel Hamed, Mohamed S Elsakaya, Bassant Sayed Abdallah, and Hanan Mohamed Kamal. "Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt." International Journal of Surgery and Medicine 6.1 (2020), 1-10. Print. doi:10.5455/ijsm.syncope-risk-stratification


APA (American Psychological Association) Style

Elbaih, A. H., Elsakaya, . M. S., Abdallah, . B. S. & Kamal, . H. M. (2020) Risk Stratification and the Outcome in Patients with Syncope Pre and Post Implementation of European Society Guidelines in Emergency Department in Ismailia Hospitals, Egypt. International Journal of Surgery and Medicine, 6 (1), 1-10. doi:10.5455/ijsm.syncope-risk-stratification


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Surgery and Medicine

International Journal of Surgery and Medicine E-ISSN: 2367-699X | P-ISSN: 2367-7414 International Journal of Surgery and Medicine (IJSM) is an inter ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


 

Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Surgery and Medicine editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS)

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500