San Francisco Syncope Rule, Osservatorio Epidemiologico sulla Sincope nel Lazio risk score, and clinical judgment in the assessment of short-term outcome of syncope
San Francisco Syncope Rule, Osservatorio Epidemiologico sulla Sincope nel Lazio risk score, and clinical judgment in the assessment of short-term outcome of syncope
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DOI：
10.1016/j.ajem.2008.12.039
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发表时间：
2010-05-01
影响因子：
3.6
通讯作者：
Furlan, Raffaello
中科院分区：
文献类型：
--
作者：
Dipaola, Franca;Costantino, Giorgio;Furlan, Raffaello
目的：比较OESIL （osatorio epidemiology sulla Sincope nel Lazio）风险评分、旧金山晕厥规则（San Francisco Syncope Rule）及临床判断对晕厥短期预后的评价。方法：对2004年1 - 7月在2所综合医院急诊科连续就诊的488例晕厥患者进行分析。计算每个决策规则和临床判断对短期（10天内）严重结局的敏感性、特异性、预测值和似然比。严重的结果包括死亡、主要治疗程序和早期再入院。结果：临床判断的敏感性为77%，特异性为69%，入院患者较少(34%，P
Objective: The study aimed to compare the efficacy of the Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL) risk score, San Francisco Syncope Rule, and clinical judgment in assessing the short-term prognosis of syncope.Methods: We studied 488 patients consecutively seen for syncope at the emergency department of 2 general hospitals between January and July 2004. Sensitivity, specificity, predictive values, and likelihood ratios for short-term (within 10 days) severe outcomes were computed for each decision rule and clinical judgment. Severe outcomes comprised death, major therapeutic procedures, and early readmission to hospital.Results: Clinical judgment had a sensitivity of 77%, a specificity of 69%, and would have admitted less patients (34%, P