Regional Implementation of a Pediatric Cardiology Syncope Algorithm Using Standardized Clinical Assessment and Management Plans (SCAMPS) Methodology

Journal of the American Heart Association
Yvonne M ParisNew England Congenital Cardiology Association (NECCA)

Abstract

Pediatric syncope is common. Cardiac causes are rarely found. We describe and assess a pragmatic approach to these patients first seen by a pediatric cardiologist in the New England region, using Standardized Clinical Assessment and Management Plans (SCAMPs). Ambulatory patients aged 7 to 21 years initially seen for syncope at participating New England Congenital Cardiology Association practices over a 2.5-year period were evaluated using a SCAMP. Findings were iteratively analyzed and the care pathway was revised. The vast majority (85%) of the 1254 patients had typical syncope. A minority had exercise-related or more problematic symptoms. Guideline-defined testing identified one patient with cardiac syncope. Syncope Severity Scores correlated well between physician and patient perceived symptoms. Orthostatic vital signs were of limited use. Largely incidental findings were seen in 10% of ECGs and 11% of echocardiograms. The 10% returning for follow-up, by design, reported more significant symptoms, but did not have newly recognized cardiac disease. Iterative analysis helped refine the approach. SCAMP methodology confirmed that the vast majority of children referred to the outpatient pediatric cardiology setting had typical lo...Continue Reading

References

Apr 1, 1997·Journal of the American College of Cardiology·D J DriscollP C Wollan
Jan 10, 2001·JAMA : the Journal of the American Medical Association·P C RoweS E Straus
Apr 11, 2003·The American Journal of Cardiology·Karin S GanzeboomWouter Wieling
Nov 3, 2004·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michele BrignoleUNKNOWN Task Force on Syncope, European Society of Cardiology
Mar 10, 2005·The Journal of Pediatrics·Leonard A Steinberg, Timothy K Knilans
Jun 24, 2008·The Journal of Pediatrics·Imad T Jarjour, Laila K Jarjour
Aug 12, 2008·Journal of the American College of Nutrition·Marie-Ange GrondinLaurent Gerbaud
Jun 2, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nancy ColmanArthur A M Wilde
Mar 25, 2011·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Roy FreemanJ Gert van Dijk
May 21, 2011·Health Affairs·Brent C James, Lucy A Savitz
Feb 22, 2012·Cardiology in the Young·Jeffrey B AndersonBradley S Marino
Mar 13, 2012·The Journal of Emergency Medicine·Jeffrey B AndersonPamela C Heaton
Jan 11, 2013·British Journal of Sports Medicine·Jonathan A DreznerMathew G Wilson
Jun 19, 2013·The Journal of Pediatrics·Kevin G Friedman, Mark E Alexander
Sep 3, 2013·The Journal of Pediatrics·Justin T Tretter, Rae-Ellen W Kavey
Mar 25, 2015·The Journal of Emergency Medicine·David HurstHeather Phelps

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Citations

Feb 6, 2018·Congenital Heart Disease·Jeffery B AndersonRobert Campbell
Oct 29, 2019·Cardiovascular & Hematological Agents in Medicinal Chemistry·Bibhuti B Das, Kak-Chen Chan
May 20, 2017·Pediatric Cardiology·Connor ReddJeffrey Anderson
Oct 6, 2017·Pediatric Cardiology·Aedin RyanColin J McMahon
Feb 15, 2021·Pediatric Cardiology·Melissa M WinderCollin G Cowley
Nov 3, 2020·Pediatric Quality & Safety·Kristen H ShanahanAndrew M Fine

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Software Mentioned

NECCA
SCAMPs

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