Application and comparison of risk stratification of syncope in an emergency department
MU Hong1, YANG Yang2, LIU Jiexin3, TANG Hefei4, LIU Zhongyang5, YANG Tiecheng1
1.Department of Emergency, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China; 2.The Third Medical Center of PLA General Hospital, Beijing 100039, China; 3. Department of Cardiology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China; 4. Department of Neurology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China; 5.Beijing Proteome Research Center, Beijing 102206, China
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.
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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. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(11): 964-966.
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2019, Vol. 30 
