Long-term Effects of an Evidence-based Guideline for Emergency Management of Pediatric Syncope.

ABSTRACT: Variability exists in the management of childhood syncope as clinicians balance resource utilization with the need to identify serious diseases. Limited evidence exists regarding the long-term impact of evidence-based guidelines (EBGs) on clinical practices. This study's objective was to measure long-term changes in the management of syncope after implementing a syncope EBG in a single pediatric emergency department following the redistribution of resources to facilitate compliance over time.

Methods

We included healthy patients aged 8-22 years, presenting to the pediatric emergency department with syncope between 2009 and 2017. Interrupted time series analysis compared testing rates and length of stay among the pre-EBG, short-term follow-up, and long-term follow-up periods.

Resu

SUBMITTER: Shanahan KH 

PROVIDER: S-EPMC7591128 | biostudies-literature | 2020 Nov-Dec

REPOSITORIES: biostudies-literature