Emergency Medicine: Open Access

Emergency Medicine: Open Access
Open Access

ISSN: 2165-7548

+44 1223 790975

Roxana Bader

Roxana Bader

United Kingdom

  • Research Article
    Risk Stratification of Syncope in the Emergency Department, Clinical Decision Rules or Clinical Judgement?
    Author(s): Roxana Bader, Stefano Sartini and Tim HarrisRoxana Bader, Stefano Sartini and Tim Harris

    Aim: Clinical decision tools (CDTs) have been developed to assess patients with syncope. None have shown clear superiority to identify patients at high risk of adverse outcome. The aim of this study was to validate a modified Risk Stratification of Syncope in the Emergency Department (ROSE) CDT (without a brain natriuretic peptide (BNP) assay and also evaluate a proposed ROSE-65 rule (substituting age 65 for serum BNP), comparing these with the performance of existing CDTs, the San Francisco Syncope Rule (SFSR) and the Osservatorio Epidemiologico per la Sincopenel Lazio (OESIL). Methods: This was a single center, retrospective observational study of adults presenting to the ED with syncope. OESIL, SFSR, ROSE Rule minus BNP and ROSE-65 were applied to assess outcomes at 1-week, 1-month and 1-year follow up. Results: 120 patients had data for full analysis. ROSE (minus BNP.. View More»
    DOI: 10.4172/2165-7548.1000313

    Abstract PDF

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