Collapse query cause: the management of adult syncope in the emergency department

Reed, Matthew J; Gray, Alasdair

doi:10.1136/emj.2005.032136

Cited by 16 publications

(7 citation statements)

References 45 publications

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“…Patients 16 years of age or older presenting with acute syncope were enrolled. Exclusion criteria were no consent or relative assent, persisting neurological deficit suggestive of stroke, previous recruitment into the study, collapse related to alcohol consumption (raised alcometer reading and no other cause for syncope), hypoglycemia, trauma, or seizure activity with a Ͼ15-min witnessreported postictal phase (18). Standardized patient assessment.…”

Section: Methodsmentioning

confidence: 99%

The ROSE (Risk Stratification of Syncope in the Emergency Department) Study

Reed

Newby

Coull

et al. 2010

Journal of the American College of Cardiology

241

176

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The ROSE rule has excellent sensitivity and negative predictive value in the identification of high-risk patients with syncope. As a component, BNP seems to be a major predictor of serious cardiovascular outcomes and all-cause death. The ROSE rule and BNP measurement might be valuable risk stratification tools in patients with emergency presentations of syncope and should now be subjected to external validation.

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Section: Methodsmentioning

confidence: 99%

The ROSE (Risk Stratification of Syncope in the Emergency Department) Study

Reed

Newby

Coull

et al. 2010

Journal of the American College of Cardiology

241

176

View full text Add to dashboard Cite

show abstract

“…Most syncope causes are benign, but occasionally, it can be associated with significant morbidity and mortality. Some patients require emergent hospitalization for workup and treatment of life-threatening or potentially life-threatening causes; others need close outpatient follow-up and evaluation, whereas some patients need no further evaluation like patients with neurally mediated or orthostatic syncope (13).…”

Section: Discussionmentioning

confidence: 99%

Utility of brain natriuretic peptide assay as a predictor of short term outcomes in patients presenting with syncope to the emergency department

Isbitan

Hawatmeh

Elnahar

et al. 2016

Cardiovasc. Diagn. Ther.

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“…Similar studies in literature confirmed that the use of abundant additional testing should be avoided in most patients with syncope and good clinical evaluation is of paramount importance for optimal in-emergency management, diagnostic choices, and therapeutic decisions 14 . Reviewing literature of 13 articles published on this subject classified diagnostic modalities used in syncope patients into three groups: helpful, not helpful, or of unclear value, and head CT scan was determined to be not helpful unless the cause of syncope was neurological seizures 15,16 absence of specific findings in the history or physical examination 17 .…”

Section: Discussionmentioning

confidence: 99%

Brain Computed Tomography evaluation of patients with syncopal episode in the emergency department at King Hussein Medical Center

Nsoor¹,

Mhearat²

2009

Sud Jnl Med Sci.

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The aim of our study is to determine the value of using brain computerized tomography as a routine investigation in patients presenting with syncope to the emergency department at King Hussein Medical Center Amman Jordon. Methods: In the time period between March 2006 and April 2008, a total of 254 patients (134 males and 120 females) with a mean age ± SD of 62 ±27 years (range: 32-73) presented with syncope to the emergency department. All of these patients underwent various investigations to verify the cause of syncope including brain CT scan. Patients were categorized into three groups according to CT scan findings and their neurological examination on presentation. Results: Patients were classified into three groups based on their brain CT findings and their neurological examination on presentation. The first group included 203 (79.9 %) patients, all of which had normal brain CT scan and normal neurological examination. The second group included 10 (3.9%) patients all of which had abnormal brain CT scan findings and abnormal neurological examination. The abnormal neurological findings can be attributed to their syncopal episode and abnormal brain CT findings. The third group included 41 (16.1%) patients who had abnormal brain CT findings and either normal or abnormal neurological examination which is not related and can't be attributed to the abnormal head CT findings and their syncopal episode. Conclusion:The use of brain CT scan as a routine investigation in the evaluation of patients presented to the Emergency Department at king Hussein Medical Center with syncope is unjustifiable, unless these patients had abnormal neurological examination.

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Collapse query cause: the management of adult syncope in the emergency department

Cited by 16 publications

References 45 publications

The ROSE (Risk Stratification of Syncope in the Emergency Department) Study

The ROSE (Risk Stratification of Syncope in the Emergency Department) Study

Utility of brain natriuretic peptide assay as a predictor of short term outcomes in patients presenting with syncope to the emergency department

Brain Computed Tomography evaluation of patients with syncopal episode in the emergency department at King Hussein Medical Center

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