F2 Solutions' algorithms provide the health care provider with the educational tools and decision framework needed to ensure a comprehensive approach to patients presenting with Faint or Fall.

Studies have shown that 30% of patients >55 years old have at least one fainting episode. Many of these events are not diagnosed, exposing patients to increased risk, inconvenience, and unwarranted costs.

Fainting or Falling

Causes & Consequences

Fainting is defined as a brief loss of consciousness sometimes referred to as a dizzy spell, blacking out or passing out. It often leads to anxiety, injuries and hospital admissions. Fainting accounts for up to 3% of all emergency department visits. The causes vary depending on the age group and include 1) cardiac conditions. 2) reflex or neurally-mediated mechanisms, 3) neurologic and 4) metabolic disorders. In patients above the age of 65 years, fainting is the 6th leading cause of hospitalization.

Similar to Fainting, Falling is a common problem particularly in the elderly with an incidence as high as 35% in patients above the age of 75. Sometimes, a fall is actually a fainting spell in disguise because patients do not remember losing consciousness and often have no witnesses to help with the history taking. The causes of falling in the elderly are multi-factorial and 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. Despite the presence of guidelines, the approach to patients with Faint or Fall remains a challenge, resulting in a rising cost and yet a suboptimal yield to diagnosis.

Risks to Patients

Misdiagnoses and inappropriate tests impose unwarranted costs on patients who must pay their co-share and could also lead to un-necessary added risks and complications. In addition, inappropriate admissions impose an inconvenience on the patient and his or her family, adversely affecting their schedule and decreasing their productivity. Lastly, in the absence of the correct diagnosis, patients are likely to present again to the health care provider and the emergency department with the same problem.

The algorithms developed by F2 Solutions are designed to help identify all the possible causes of fainting and falling, bringing together a multidisciplinary approach to this common problem. They provide the health care provider with the educational tools and decision framework needed to ensure a comprehensive approach to patients presenting with either a fainting spell or a fall. The goal is to improve the yield to diagnosis and help prevent future recurrences thus improving patient care and reducing cost. “Better care at lower cost” is the central objective of F2 Solutions.

F2 Solutions' Incremental Value to Patients

1. Reduction in the number of inappropriate admissions
2. Provide health care providers with comprehensive educational information and tools
3. Increase the probability of making an accurate diagnosis
4. Decrease the rate of recurrences and associated costs