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Evaluation of changes in physician behavior after introduction of pediatric syncope approach protocol in the

Leman Akcan Yildiz1, Goknur Haliloglu2, Dilek Yalnizoglu2

  • 1Department of Pediatric Emergency, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey.

The American Journal of Emergency Medicine
|March 11, 2022
PubMed

Insights

Implementing a pediatric syncope protocol in the emergency department improved physician assessment and reduced unnecessary tests. This systematic approach enhances the care of children experiencing syncope.

Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Quality Improvement

Background:

  • Syncope is a frequent reason for pediatric emergency department visits.
  • Distinguishing serious causes from benign syncope is critical for appropriate management.

Purpose of the Study:

  • To assess the impact of a new institutional protocol on physician behavior in evaluating and managing pediatric syncope.
  • To improve the quality of care for children presenting with syncope.

Main Methods:

  • A retrospective study comparing the six months before and after protocol implementation.
  • Analysis of medical records for documentation of syncope characteristics and warning signs.
  • Comparison of laboratory investigations and final diagnoses.

Main Results:

  • Significant improvements observed in documenting syncope details (prodromal symptoms, predisposing factors, exercise association) post-protocol.
  • Increased documentation of cardiac, neurological, and electrocardiographic (ECG) warning signs.
  • Higher rates of cardiac marker ordering in the post-protocol group.

Conclusions:

  • The protocol facilitated evidence-based, systematic evaluation and management of pediatric syncope.
  • Reduced the utilization of low-yield investigations.
  • Sustained implementation promises long-term benefits for pediatric syncope care in emergency settings.
Abstract

Keywords:
ChildrenEmergencyProtocolQuality improvementSyncope

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