EBQ:San Francisco Syncope Rule - Revision history

Danbot: Added Interventions section content

2026-03-21T22:42:58Z

Added Interventions section content

← Older revision		Revision as of 22:42, 21 March 2026
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	*LOC associated with an altered level of consciousness or persistent new neurologic deficits did not meet operational definition of syncope and were excluded		*LOC associated with an altered level of consciousness or persistent new neurologic deficits did not meet operational definition of syncope and were excluded

	==Interventions==		==Interventions==
			*No specific intervention; this was a clinical decision rule derivation and validation study
			*All patients were evaluated using the San Francisco Syncope Rule (SFSR) criteria:
			**Abnormal ECG
			**Complaint of shortness of breath
			**Systolic blood pressure <90 mmHg at triage
			**Hematocrit <30%
			**History of congestive heart failure
			*Physicians applied the rule prospectively and documented predictions
	==Outcomes==		==Outcomes==
	*30 day follow-up after the patients' index ED visit to determine serious short-term outcomes		*30 day follow-up after the patients' index ED visit to determine serious short-term outcomes

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:10Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Older revision		Revision as of 14:14, 22 March 2016
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	[[Category:EBQ]]		[[Category:EBQ]]
	[[Category:~~Neuro~~]]		[[Category:Neurology]]
	[[Category:Cardiology]]		[[Category:Cardiology]]

Ostermayer: Text replacement - "Category:Cards" to "Category:Cardiology"

2016-03-22T13:54:04Z

Text replacement - "Category:Cards" to "Category:Cardiology"

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	[[Category:EBQ]]		[[Category:EBQ]]
	[[Category:Neuro]]		[[Category:Neuro]]
	[[Category:~~Cards~~]]		[[Category:Cardiology]]

Arsmd: /* Further Reading */

2015-04-11T00:00:48Z

Further Reading

← Older revision		Revision as of 00:00, 11 April 2015
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	\| status=Complete		\| status=Complete
	}}		}}
	#{{JC info		{{JC info
	\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score		\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score
	\| abbreviation=		\| abbreviation=
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	\| status=Complete		\| status=Complete
	}}		}}
	#{{JC info		{{JC info
	\| title= A risk score to predict arrhythmias in patients with unexplained syncope		\| title= A risk score to predict arrhythmias in patients with unexplained syncope
	\| abbreviation=		\| abbreviation=

Arsmd: /* Further Reading */

2015-04-11T00:00:31Z

Further Reading

← Older revision		Revision as of 00:00, 11 April 2015
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	==Further Reading==		==Further Reading==
	*[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]		[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]
	*{{JC info		{{JC info
	\| title= Risk stratification of patients with syncope		\| title= Risk stratification of patients with syncope
	\| abbreviation=		\| abbreviation=
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	\| status=Complete		\| status=Complete
	}}		}}
	*{{JC info		#{{JC info
	\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score		\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score
	\| abbreviation=		\| abbreviation=
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	\| status=Complete		\| status=Complete
	}}		}}
	*{{JC info		#{{JC info
	\| title= A risk score to predict arrhythmias in patients with unexplained syncope		\| title= A risk score to predict arrhythmias in patients with unexplained syncope
	\| abbreviation=		\| abbreviation=

Arsmd: /* Further Reading */

2015-04-11T00:00:02Z

Further Reading

← Older revision		Revision as of 00:00, 11 April 2015
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	==Further Reading==		==Further Reading==
	[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]		*[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]
			*{{JC info
	{{JC info
	\| title= Risk stratification of patients with syncope		\| title= Risk stratification of patients with syncope
	\| abbreviation=		\| abbreviation=
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	\| issue=		\| issue=
	\| pages= 459-466		\| pages= 459-466
	\| pmid=		\| pmid= 9095005
	\| fulltexturl= ~~http://www.annemergmed.com/article/S0196-0644(97)70217-8/pdf~~		\| fulltexturl=
	\| pdfurl=		\| pdfurl=
	\| status=Complete		\| status=Complete
	}}		}}
			*{{JC info
	{{JC info
	\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score		\| title= Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score
	\| abbreviation=		\| abbreviation=
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	\| status=Complete		\| status=Complete
	}}		}}
			*{{JC info
	{{JC info
	\| title= A risk score to predict arrhythmias in patients with unexplained syncope		\| title= A risk score to predict arrhythmias in patients with unexplained syncope
	\| abbreviation=		\| abbreviation=

Arsmd at 23:58, 10 April 2015

2015-04-10T23:58:34Z

@@ Line 124: / Line 124: @@
 ==Further Reading==
 [http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]
-*Martin TP et al. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459-466.
-| pdfurl=http://www.annemergmed.com/article/S0196-0644(97)70217-8/pdf
+{{JC info
-*Colivicchi F et al. 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.
+| title= Risk stratification of patients with syncope
 | pmid= 12727148
-*Sarasin FP, Hanusa BH, Perneger T, et al. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 2003;10:1312-1317
+| fulltexturl=
 | pmid= 14644781
 ==See Also==

Arsmd: /* Further Reading */

2015-04-10T23:53:04Z

Further Reading

← Older revision		Revision as of 23:53, 10 April 2015
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	==Further Reading==		==Further Reading==
	[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]		[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]
	Martin TP et al. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459-466.		*Martin TP et al. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459-466.
	\| pdfurl=http://www.annemergmed.com/article/S0196-0644(97)70217-8/pdf		\| pdfurl=http://www.annemergmed.com/article/S0196-0644(97)70217-8/pdf
	Colivicchi F et al. 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.		*Colivicchi F et al. 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.
	\| pmid= 12727148		\| pmid= 12727148
	Sarasin FP, Hanusa BH, Perneger T, et al. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 2003;10:1312-1317		*Sarasin FP, Hanusa BH, Perneger T, et al. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 2003;10:1312-1317
	\| pmid= 14644781		\| pmid= 14644781

Arsmd at 23:52, 10 April 2015

2015-04-10T23:52:13Z

← Older revision		Revision as of 23:52, 10 April 2015
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	==Study Design==		==Study Design==
	*A prospective cohort study		*A prospective cohort study
	*N=791		*N =: 760 patients had 791 visits for syncope (1.2% of all ED visits)
	*Consecutive patients with syncope or near syncope presenting to an emergency department of a large, urban teaching hospital were identified and enrolled from July 15, 2002 to August 31, 2004		*Consecutive patients with syncope or near syncope presenting to an emergency department of a large, urban teaching hospital were identified and enrolled from July 15, 2002 to August 31, 2004
	*Physicians prospectively applied the San Francisco Syncope Rule		*Physicians prospectively applied the San Francisco Syncope Rule
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	***Death		***Death
	***Myocardial Infarction		***Myocardial Infarction
			****Any elevation of troponin or ECG change with an accompanying diagnosis of myocardial infarction on D/C and confirmed by the cardiology service or primary physician
	***Arrhythmia		***Arrhythmia
	***Pulmonary Embolism		***Pulmonary Embolism
			****Needed to have received treatment for the pulmonary embolism or had it confirmed on autopsy
	***Stoke		***Stoke
	***Subarachnoid Hemorrhage		***Subarachnoid Hemorrhage
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	*364 men, 427 females		*364 men, 427 females
	*Mean age: 61		*Mean age: 61
	*Admitted: 469		*Admitted: 469 (59%)
	*Patients with serious outcomes after ED visit: 54 (6.8%)		*Patients with serious outcomes after ED visit: 54 (6.8%)
	**Death: 3		**Death: 3
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	*Drug-related loss of consciousness		*Drug-related loss of consciousness
	*Definite seizure		*Definite seizure
			*LOC associated with an altered level of consciousness or persistent new neurologic deficits did not meet operational definition of syncope and were excluded

	==Interventions==		==Interventions==
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	*Sepsis: 3		*Sepsis: 3
	*Admission after ED discharge: 3		*Admission after ED discharge: 3

	===Secondary Outcomes===		===Secondary Outcomes===
	*Physicians accurately interpreted the rule 95% of the time		*Physicians accurately interpreted the rule 95% of the time
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	==Further Reading==		==Further Reading==
	[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]		[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]
			Martin TP et al. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459-466.
			\| pdfurl=http://www.annemergmed.com/article/S0196-0644(97)70217-8/pdf
			Colivicchi F et al. 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.
			\| pmid= 12727148
			Sarasin FP, Hanusa BH, Perneger T, et al. A risk score to predict arrhythmias in patients with unexplained syncope. Acad Emerg Med. 2003;10:1312-1317
			\| pmid= 14644781

	==See Also==		==See Also==
	*[[Syncope]]		*[[Syncope]]

	==~~Sources~~==		==References==
	<references/>		<references/>

Ostermayer: /* Further Reading */

2014-08-25T00:43:03Z

Further Reading

← Older revision		Revision as of 00:43, 25 August 2014
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	==Further Reading==		==Further Reading==
	[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]		[http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Management-of-Syncope/ ACEP Clinical Practice Management: Management of Syncope]

			==See Also==
			*[[Syncope]]

	==Sources==		==Sources==