A New Feasible Syncope Risk Score Appropriate for Emergency Department: A Prospective Cohort Study

Bozorgi, Ali; Hosseini, Kaveh; Jalali, Arash; Tajdini, Masih

doi:10.1097/hpc.0000000000000146

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…The study calculated a sensitivity of 96.8% and a specificity of 72.8%, which may allow more accurate stratification and targeting of diagnostic procedures and therapeutic interventions. Similarly, other studies [ 15 , 18 , 20 , 32 - 34 ] have validated the OESIL risk score using different study designs, different endpoints, and different individuals who interpreted the ECG. The results suggested that the prediction accuracy of OESIL in other syncope populations is significantly reduced, so it has not been promoted in clinical applications.…”

Section: Prognostic Scores For Long-term Outcomesmentioning

confidence: 96%

Syncope Prediction Scores in the Emergency Department

Liang

Tse

et al. 2022

CCR

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Section: Prognostic Scores For Long-term Outcomesmentioning

confidence: 96%

Syncope Prediction Scores in the Emergency Department

Liang

Tse

et al. 2022

CCR

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“…Less is known of the importance of syncope in the prognosis of the patients with traumatic head injury. The long-term prognosis in head trauma patients may be related not only to the severity of head injury but also to the underlying condition, which predisposes to trauma such as alcoholism, drug addiction, or concomitant chronic diseases (16)(17)(18)(19)(20). The aim of this study was to assess whether syncope as a cause of head trauma affects short-and long-term prognosis in patients presenting with head injury.…”

Section: Introductionmentioning

confidence: 99%

Prognosis of Syncope With Head Injury: a Tertiary Center Perspective

Furtan

Pochciał

Timler

et al. 2020

Front. Cardiovasc. Med.

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Aim: Head injury is the most common trauma occurring in syncope. We aimed to assess whether syncope as cause of head-trauma affects short-and long-term prognosis. Methods: From a database retrospective analysis of 97,014 individuals attending Emergency Department (ED), we selected data of patients with traumatic head injury including age, gender, injury mechanism, brain imaging, multiple traumas, bone fracture, intracranial bleeding, and mortality. Mean follow-up was 6.4 ± 1.8 years. Outcome data were obtained from a digital national population register. The study population included 3,470 ED head injury patients: 117 of them (50.0 ± 23.6 years, 42.7% men) reported syncope as cause of head trauma and 3,315 (32.2 ± 21.1 years, 68.5% men) without syncope preceding head trauma. Results: Thirty-day mortality was low and similar in traumatic head injury with or without syncope. One year and long-term all-cause mortality were both significantly higher in syncopal vs. non-syncopal traumatic head injury (11.1 vs. 2.8% and 32 vs. 10.2%, respectively; both p < 0.001). In adjusted logistic regression analysis, death between 121st-day and 1 year in patients with head-trauma was associated with male gender [odds ratio (OR): 6.48; 95% CI: 2.59-16.25], advancing age (per year) (OR 1.09; 95% CI 1.07-1.11), Glasgow Coma Scale < 13 (OR: 6.18; 95% CI:1.68-22.8), bone fracture (OR 4.72; 95% CI 2.13-10.5), and syncope (OR 3.70; 95% CI: 1;48-9.31). In multivariable Cox regression analysis, syncope was one of the strongest independent predictors of long-term all-cause death (hazard ratio: 1.95; 95% CI 1.37-2.78). Conclusion: In patients with head trauma, history of syncope preceding injury does not increase 30-day all-cause mortality but portends increased 1 year and long-term mortality.

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