Open Access“Passing Out is a Serious Thing”: Patient Expectations for Syncope Evaluation and Management
Author(s) -
Jessica Miller Clouser,
Matthew Sirrine,
Colleen A. McMullen,
Amy Cowley,
Susan S. Smyth,
Vedant Gupta,
Mark Williams,
Jing Li
Publication year - 2021
Publication title -
patient preference and adherence
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.885
H-Index - 48
ISSN - 1177-889X
DOI - 10.2147/ppa.s307186
Subject(s) - syncope (phonology) , medicine , emergency department , guideline , context (archaeology) , clarity , feeling , medical emergency , family medicine , nursing , psychology , pathology , paleontology , social psychology , biochemistry , chemistry , biology
Syncope is a complex symptom requiring thoughtful evaluation. The ACC/AHA/HRS published syncope management guidelines in 2017. Effective guideline implementation hinges on overcoming multilevel barriers, including providers' perceptions that patients prefer aggressive diagnostic testing when presenting to the emergency department (ED) with syncope, which conflicts with the 2017 Guideline on Syncope. To better understand this perceived barrier, we explored patient and family caregiver expectations and preferences when presenting to the ED with syncope.