American Journal of Cardiology
Volume 105, Issue 1 , Pages 82-86 , 1 January 2010

Predictors of Short-Term (Seven-Day) Cardiac Outcomes After Emergency Department Visit for Syncope

  • Gelareh Z. Gabayan, MD

      Affiliations

    • Department of Medicine, Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, California
    • Department of Medicine, University of California, Los Angeles, California
    • Corresponding Author InformationCorresponding author: Tel: 310-968-0668; fax: 310-740-7600
    • ,
  • Stephen F. Derose, MD

      Affiliations

    • Department of Research and Evaluation, Kasier Permanente Southern California, Pasadena, California
    • ,
  • Steven M. Asch, MD

      Affiliations

    • Department of Medicine, Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, California
    • ,
  • Vicki Y. Chiu, MS

      Affiliations

    • Department of Research and Evaluation, Kasier Permanente Southern California, Pasadena, California
    • ,
  • Sungching C. Glenn, MS

      Affiliations

    • Department of Research and Evaluation, Kasier Permanente Southern California, Pasadena, California
    • ,
  • Carol M. Mangione, MD

      Affiliations

    • Department of Medicine, University of California, Los Angeles, California
    • ,
  • Benjamin C. Sun, MD

      Affiliations

    • Department of Medicine, Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, California
    • Department of Medicine, University of California, Los Angeles, California

Received 3 July 2007 ,Revised 7 August 2007 ,Accepted 7 August 2007.

References 

  1. Getchell WS, Larsen GC, Morris CD, McAnulty JH. Epidemiology of syncope in hospitalized patients. J Gen Intern Med. 1999;14:677–687
  2. Colivicchi F, Ammirati F, Melina D, Guido V, Imperoli G, Santini M. Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score. Eur Heart J. 2003;24:811–819
  3. Kapoor WN, Karpf M, Wieand S, Peterson JR, Levey GS. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197–204
  4. Martin TP, Hanusa BH, Kapoor WN. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459–466
  5. Sarasin FP, Hanusa BH, Perneger T, Louis-Simonet M, Rajeswaran A, Kapoor WN. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 2003;10:1312–1317
  6. Reed MJ, Newby DE, Coull AJ, Jacques KG, Prescott RJ, Gray AJ. The Risk stratification Of Syncope in the Emergency department (ROSE) pilot study: a comparison of existing syncope guidelines. Emerg Med J. 2007;24:270–275
  7. Quinn J, McDermott D, Stiell I, Kohn M, Wells G. Prospective validation of the San Francisco Syncope Rule to predict patients with serious outcomes. Ann Emerg Med. 2006;47:448–454
  8. Costantino G, Perego F, Dipaola F, Borella M, Galli A, Cantoni G, et al. Short- and long-term prognosis of syncope, risk factors, and role of hospital admission: results from the STePS (Short-Term Prognosis of Syncope) study. J Am Coll Cardiol. 2008;51:276–283
  9. Sun BC, Mangione CM, Merchant G, Weiss T, Shlamovitz GZ, Zargaraff G, et al. External validation of the San Francisco Syncope Rule. Ann Emerg Med. 2007;49:420–427
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  11. Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC. Syncope in children and adolescents. J Am Coll Cardiol. 1997;29:1039–1045
  12. Petitti DB, Contreras R, Ziel FH, Dudl J, Domurat ES, Hyatt JA. Evaluation of the effect of performance monitoring and feedback on care process, utilization, and outcome. Diabetes Care. 2000;23:192–196
  13. Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, et al. Incidence and prognosis of syncope. N Engl J Med. 2002;347:878–885
  14. Kapoor WN. Evaluation and outcome of patients with syncope. Medicine (Baltimore). 1990;69:160–175
  15. Sun BC, Hoffman JR, Mangione CM, Mower WR. Older age predicts short-term, serious events after syncope. J Am Geriatr Soc. 2007;55:907–912
  16. Cosgriff TM, Kelly AM, Kerr D. External validation of the San Francisco Syncope Rule in the Australian context. CJEM. 2007;9:157–161
  17. Sun BC, Emond JA, Camargo CA. Characteristics and admission patterns of patients presenting with syncope to U.S. emergency departments, 1992–2000. Acad Emerg Med. 2004;11:1029–1034
  18. Del Rosso A, Ungar A, Maggi R, Giada F, Petix NR, De Santo T, et al. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Heart. 2008;94:1620–1626

 Dr. Gabayan is supported by a Greater Los Angeles Veteran's Affairs Health Services Research and Development Fellowship, Los Angeles, California. This research was also supported by Grant 20051687 to Dr. Sun from the American Geriatrics Society New York, New York Dennis Jahnigen Career Development Award and Grant AG 01-004 to Dr. Sun from the University of California, Los Angeles, National Institutes of Aging K12 Mentored Clinical Scientist Development Program in Geriatrics, Los Angeles, California. Dr. Sun also received support from the UCLA Older Americans Independence Center, NIH/NIA Grant P30-AG028748, and the content does not necessarily represent the official views of the National Institute on Aging or the National Institutes of Health.

PII: S0002-9149(09)02219-X

doi: 10.1016/j.amjcard.2009.08.654

American Journal of Cardiology
Volume 105, Issue 1 , Pages 82-86 , 1 January 2010

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