{"id":4354,"date":"2017-02-13T11:20:08","date_gmt":"2017-02-13T11:20:08","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=4354"},"modified":"2017-02-22T15:54:28","modified_gmt":"2017-02-22T15:54:28","slug":"an-auditon-paediatric-syncope-do-paediatricians-identify-the-red-flags-for-cardiac-syncope-2016","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2017\/02\/13\/an-auditon-paediatric-syncope-do-paediatricians-identify-the-red-flags-for-cardiac-syncope-2016\/","title":{"rendered":"An auditon paediatric syncope: Do paediatricians identify the red flags for cardiac syncope? (2016)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Mikrou P.; *Kannivelu A.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nEuropean Journal of Pediatrics; 2016; vol. 175 (no. 11); p. 1480-1481<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nBackground and aims Syncope is a common presentation in Paediatrics. Although cardiac syncope is rare, identifying the red flags that could signify an underlying cardiac cause (see chart 1) is an essential skill for all Paediatricians. Methods We conducted a retrospective audit of children with presentation of syncope\/presyncope in our local District General Hospital. We based our standards on the Department of Health and\u00a0Arrhythmia Alliance Primary Care pathway, NICE and European Society of Cardiology guidance on Transient Loss of Consciousness in young people and adults. Results A total of 33 patients were analysed, in two different\u00a0subgroups: Paediatric Assessment Unit (PAU) group (n=23) and Outpatient group (n=10). In the PAU subgroup, only 70% of patients had a 12-lead ECG (44% had a manual QTC calculated). Family history of sudden death\u00a0was not documented in 48% of cases. In the outpatient subgroup a significantly higher number of investigations were performed (100% had 12-lead ECGs, 70% Holter monitors and 30% echocardiograms). There was felt to\u00a0be a selection bias (clinic being run by a Paediatrician with Cardiology expertise). Conclusions A standard operating procedure pathway was formulated to guide clinicians in the Emergency Department and PAU for the\u00a0management of children presenting with syncope. Key points are that all children presenting with syncope should have a 12-lead ECG and 'red flags' explored in history (e.g. family history of sudden unexplained death,\u00a0exercise induced symptoms, palpitations). We hope that the pathway implementation will lead to improved patient care outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Mikrou P.; *Kannivelu A. Citation: European Journal of Pediatrics; 2016; vol. 175 (no. 11); p. 1480-1481 Abstract: Background and aims Syncope is a common presentation in Paediatrics. Although cardiac syncope is rare, identifying the<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2017\/02\/13\/an-auditon-paediatric-syncope-do-paediatricians-identify-the-red-flags-for-cardiac-syncope-2016\/\">Read more <span class=\"screen-reader-text\">An auditon paediatric syncope: Do paediatricians identify the red flags for cardiac syncope? (2016)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[574,241,671],"class_list":["post-4354","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-574","tag-paediatrics","tag-syncope"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=4354"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4354\/revisions"}],"predecessor-version":[{"id":4359,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4354\/revisions\/4359"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=4354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=4354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=4354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}