Prospective Validation of the San Francisco Syncope Rule to Predict Patients With Serious Outcomes

Annals of Emergency Medicine

Volumn 47, Issue 5, 2006, Pages 448-454

  Quinn, James ^a   McDermott, Daniel ^b   Stiell, Ian ^c   Kohn, Michael ^b   Wells, George ^c  

^a STANFORD UNIVERSITY   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF OTTAWA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONFIDENCE INTERVAL; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE SEVERITY; DYSPNEA; ECG ABNORMALITY; EMERGENCY WARD; EVALUATION; FEMALE; FOLLOW UP; HEMATOCRIT; HUMAN; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; OUTCOMES RESEARCH; PATIENT SELECTION; PRACTICE GUIDELINE; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCHOOL CHILD; SENSITIVITY AND SPECIFICITY; SYNCOPE; TEACHING HOSPITAL; UNITED STATES; VALIDATION STUDY;

ARRHYTHMIA; ATTITUDE OF HEALTH PERSONNEL; CLINICAL PROTOCOLS; COHORT STUDIES; EMERGENCY MEDICINE; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SYNCOPE;

EID: 33646041299     PISSN: 01960644     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2005.11.019     Document Type: Article

References (41)

1. Wayne N.N. Syncope. physiological considerations and an analysis of the clinical characteristics in 510 patients. Am J Med. 30 (1961) 418-438
2. Kapoor W.N., Karpf M., Wieand S., et al. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 309 (1983) 197-204
3. Soteriades E.S., Evans J.C., Larson M.G., et al. Incidence and prognosis of syncope. N Engl J Med. 347 (2002) 878-885
4. Quinn J.V., Stiell I.G., McDermott D.A., et al. Derivation of the San Francisco Syncope Rule to predict patients with short-term serious outcomes. Ann Emerg Med. 43 (2004) 224-232
5. Maisel W.H., and Stevenson W.G. Syncope. getting to the heart of the matter. N Engl J Med. 347 (2002) 931-933
6. Diaz-Castro O., Puchol A., Almendral J., et al. Predictors of in-hospital ventricular fibrillation or torsades de pointes in patients with acute symptomatic bradycardia. J Electrocardiol. 37 (2004) 55-60
7. Wolfe T.R., and Allen T.L. Syncope as an emergency department presentation of pulmonary embolism. J Emerg Med. 16 (1998) 27-31
8. Bass E.B., Elson J.J., Fogoros R.N., et al. Long-term prognosis of patients undergoing electrophysiologic studies for syncope of unknown origin. Am J Cardiol. 62 (1988) 1186-1191
9. Georgeson S., Linzer M., Griffith J.L., et al. Acute cardiac ischemia in patients with syncope. importance of the initial electrocardiogram. J Gen Intern Med. 7 (1992) 379-386
10. Gallagher E.J. Hospitalization for fainting. high stakes, low yield. Ann Emerg Med. 29 (1997) 540-542
11. Sun B.C., Emond J.A., and Camargo Jr. C.A. Direct medical costs of syncope-related hospitalizations in the United States. Am J Cardiol. 95 (2005) 668-671
12. Brignole M., Alboni P., Benditt D.G., et al. Guidelines on management (diagnosis and treatment) of syncope: update 2004: executive summary. Eur Heart J. 25 (2004) 2054-2072
13. American College of Emergency Physicians. Clinical policy. critical issues in the evaluation and management of patients presenting with syncope. Ann Emerg Med. 37 (2001) 771-776
14. Linzer M., Yang E.H., Estes III N.A., et al. Diagnosing syncope, part 2: unexplained syncope: clinical efficacy assessment project of the American College of Physicians. Ann Intern Med. 127 (1997) 76-86
15. Linzer M., Yang E.H., Estes III N.A., et al. Diagnosing syncope, part 1: value of history, physical examination, and electrocardiography: crlinical efficacy assessment project of the American College of Physicians. Ann Intern Med. 126 (1997) 989-996
16. Schillinger M., Domanovits H., Mullner M., et al. Admission for syncope. evaluation, cost and prognosis. Wien Klin Wochenschr 112 (2000) 835-841
17. Quinn J., McDermott D., Kohn M., et al. Admission for low risk patients with syncope. [abstract]. Acad Emerg Med. 12 (2005) 126-127
18. Crane S.D. Risk stratification of patients with syncope in an accident and emergency department. Emerg Med J. 19 (2002) 23-27
19. Zaidi A.M., and Fitzpatrick A.P. Investigation of syncope. increasing the yield and reducing the cost. Eur Heart J. 21 (2000) 877-880
20. von Dohlen T.W., and Frank M.J. Presyncope and syncope. how to find the cause and avoid staggering costs. Postgrad Med. 86 (1989) 85-88 91, 94-96
21. Mozes B., Confino-Cohen R., and Halkin H. Cost-effectiveness of in-hospital evaluation of patients with syncope. Isr J Med Sci. 24 (1988) 302-306
22. Bogden P.E. A more cost-effective evaluation of syncope. Hawaii Med J. 44 (1985) 340-344
23. Kapoor W.N., Karpf M., Maher Y., et al. Syncope of unknown origin. the need for a more cost-effective approach to its diagnosis evaluation. JAMA 247 (1982) 2687-2691
24. Bartoletti A., Fabiani P., Gianni R., et al. After the 2001 European Society of Cardiology guidelines. is it possible to reduce the number of patients with syncope to be hospitalized?. Minerva Med. 95 (2004) 451-460
25. Stiell I.G., and Wells G.A. Methodologic standards for the development of clinical decision rules in emergency medicine. Ann Emerg Med. 33 (1999) 437-447
26. Quinn J., and Durski K. A real-time tracking, notification, and web-based enrollment system for emergency department research. Acad Emerg Med. 11 (2004) 1245-1248
27. Blanc J.J., L'Her C., Touiza A., et al. Prospective evaluation and outcome of patients admitted for syncope over a 1 year period. Eur Heart J. 23 (2002) 815-820
28. Pires L.A., Ganji J.R., Jarandila R., et al. Diagnostic patterns and temporal trends in the evaluation of adult patients hospitalized with syncope. Arch Intern Med. 161; (2001) 1889-1895
29. Del Greco M., Cozzio S., Scillieri M., et al. Diagnostic pathway of syncope and analysis of the impact of guidelines in a district general hospital. the ECSIT study (epidemiology and costs of syncope in Trento). Ital Heart J. 4 (2003) 99-106
30. Morag R.M., Murdock L.F., Khan Z.A., et al. Do patients with a negative emergency department evaluation for syncope require hospital admission?. J Emerg Med. 27 (2004) 339-343
31. Stiell I.G., Wells G.A., Vandemheen K.L., et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA 286 (2001) 1841-1848
32. Thakore S.B., Crombie I., and Johnston M. The management of syncope in a British emergency department compared to recent American guidelines. Scott Med J. 44 (1999) 155-157
33. Farwell D.J., and Sulke A.N. Does the use of a syncope diagnostic protocol improve the investigation and management of syncope?. Heart 90 (2004) 52-58
34. Martin T.P., Hanusa B.H., and Kapoor W.N. Risk stratification of patients with syncope. Ann Emerg Med. 29 (1997) 459-466
35. Colivicchi F., Ammirati F., Melina D., et al. Development and prospective validation of a risk stratification system for patients with syncope in the emergency department. the OESIL risk score. Eur Heart J. 24 (2003) 811-819
36. Sarasin F.P., Hanusa B.H., Perneger T., et al. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 10 (2003) 1312-1317
37. Middlekauff H.R., Stevenson W.G., and Saxon L.A. Prognosis after syncope. impact of left ventricular function. Am Heart J. 125 (1993) 121-127
38. Middlekauff H.R., Stevenson W.G., Stevenson L.W., et al. Syncope in advanced heart failure. high risk of sudden death regardless of origin of syncope. J Am Coll Cardiol. 21 (1993) 110-116
39. Laupacis A., Sekar N., and Stiell I. Clinical prediction rules. a review and suggested modifications of methodological standards. JAMA 277 (1997) 488-494
40. Quinn J.V., Stiell I.G., McDermott D.A., et al. San Francisco Syncope Rule vs. physician judgment and decision making. Am J Emerg Med. 23 (2005) 782-786
41. Elesber A.A., Decker W.W., Smars P.A., et al. Impact of the application of the American College of Emergency Physicians recommendations for the admission of patients with syncope on a retrospectively studied population presenting to the emergency department. Am Heart J. 149 (2005) 826-831