F2 Solutions' algorithms provide clinicians with the educational tools and a guideline-based framework to assist with the management of patients with Faint or Fall.

Since knowing the causes of Faint and Fall is a prerequisite for preventing future recurrences, improving the diagnostic yield is always a high priority at any health care organization. F2 Solutions provides standardized protocols and algorithms to assist healthcare providers in the management of patients with Faint or Fall.

Faint or T-LOC

Faint is a generic term frequently used at the initial presentation of the patient, which encompasses all disorders characterized by transient loss of consciousness (T-LOC). When the cause of faint is transient cerebral hypo-perfusion, the term syncope is used indicating specific etiologies. The differential diagnosis depends on the age of the patient and of course the history, physical exam, ECG and laboratory findings.

In a recent study conducted at the University of Utah Hospital and the 9 affiliated primary care and family practice clinics, a final diagnosis was made in only 45% of cases. The rate of unexplained faints in this study was similar to the 42%-54% rates reported by others who assessed faint in non-standardized clinical practice settings, but is far higher than the 17%-24% rates reported following the adoption of standardized algorithms. These findings highlight the importance of adopting standardized diagnostic protocols and algorithms in our approach to patients with faint. Since knowing the mechanism is a pre-requisite for preventing future recurrences, improving the diagnostic yield should be a high priority at any health care organization. F2 Solutions provides the health care provider with an added tool to help with the diagnosis and management of patients with Faint.

Fall in the Elderly

Similar to Faint, Fall is a common problem particularly in elderly patients. Up to thirty-five percent of adults greater than 65 years old sustain at least one fall and the incidence increases to 32-42% in adults older than 75 years of age. It is also known that adults who have a history of falling have a two-thirds chance of falling over the next year. Of those who fall, 20-30% suffer moderate to severe injuries, which increases their chance of an early death. Falls constitute two-thirds of the deaths from unintentional injuries, which is the fifth leading cause of death in older adults. Falls are classified as incidental due to high velocity action or sports, accidental due to slipping or tripping and non-accidental when they occur in the absence of the above criteria. According to the recently published guidelines, potential risk factors include 1) drug interaction, 2) gait, balance, lower limb joint abnormalities, 3) cognitive status abnormalities, 4) visual status abnormalities, 5) environmental hazards and 6) cardiovascular abnormalities. Most falls are associated with one or more of these risk factors. Therefore, a systematic framework is needed to evaluate the risks in each individual, otherwise many causes are overlooked. A recent study showed that in patients≥ 65 years old, the prevalence of cardiovascular risk assessment, orthostatic testing and carotid sinus massage were low at 56%, 5% and 0%, respectively. These findings highlight the inconsistencies in the assessment of patients with Falls and support the adoption of a standardized approach in these patients. F2 Solutions algorithms provide the healthcare provider with a guideline-based comprehensive framework for patients with Falls.

F2 Solutions' Incremental Value to Healthcare Providers

1. Enable generation of a clinic note thus eliminating the need for dictation
2. Provides up-to-date educational information and tools
3. Utilizes guidelines to assess short-term risk and need for admission
4. Enables comparison of the physician's diagnosis with recent guidelines
5. Based on the data input, indicates the most likely diagnosis
6. Provides information regarding the most cost-effective approach to the provider's utilization of tests for the diagnosis