Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.

ABSTRACT:

Objectives

Significant practice variation is seen in the management of syncope in the emergency department (ED). We sought to evaluate the feasibility of performing a randomized controlled trial of a shared decision making (SDM) tool for low-to-intermediate-risk syncope patients presenting to the ED.

Methods

We performed a randomized controlled trial of adults (≥30 years) with unexplained syncope who presented to an academic ED in the United States. Patients with a serious diagnosis identified in the ED were excluded. Patients were randomized, 1:1, to receive either usual care or a personalized syncope decision aid (SynDA) meant to facilitate SDM. Our primary outcome was feasibility, i.e., ability to enroll 50 patients in 24 months. Secondary outcomes included patient knowle

SUBMITTER: Probst MA 

PROVIDER: S-EPMC7483321 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature