Application and comparison of risk stratification of syncope in an emergency department

MU Hong; YANG Yang; LIU Jiexin; TANG Hefei; LIU Zhongyang; YANG Tiecheng

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Medical Journal of the Chinese People Armed Police Forces ›› 2019, Vol. 30 ›› Issue (11) : 964-966.

Application and comparison of risk stratification of syncope in an emergency department

MU Hong¹, YANG Yang², LIU Jiexin³, TANG Hefei⁴, LIU Zhongyang⁵, YANG Tiecheng¹

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Abstract

Objective To compare and analyze risk stratification methods for syncope patients in an emergency department.Methods One hundred and eight patients with syncope admitted to Beijing Tiantan Hospital between June 2016 and November 2018 were assessed by ROSE rule and SFSR rule respectively. All patients were followed up for one month. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio were analyzed and compared between the two rules.Results In this study, forty-three patients had short-term serious outcomes in one month. For ROSE rule analysis, the specificity was 86.2%, the negative predictive value was 90.3%, and the negative likelihood ratio was 0.16, compared with 84.6%, 85.9% and 0.25 respectively with SFSR rule. The value of concordance between the two rules was 0.732.Conclusions Both risk stratification rules are of great clinical significance for screening and judging non-high-risk patients,which can be flexibly applied according to the patients’ clinical conditions.

Key words

syncope / risk stratification / ROSE rule / SFSR rule

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MU Hong, YANG Yang, LIU Jiexin, TANG Hefei, LIU Zhongyang, YANG Tiecheng. Application and comparison of risk stratification of syncope in an emergency department[J]. Medical Journal of the Chinese People Armed Police Forces. 2019, 30(11): 964-966

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