急诊晕厥患者危险分层评估方法的临床应用与比较

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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

Received: 24 July 2019

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	Articles by authors
	MU Hong
	YANG Yang
	LIU Jiexin
	TANG Hefei
	LIU Zhongyang
	YANG Tiecheng

Cite this article:

MU Hong,YANG Yang,LIU Jiexin等. Application and comparison of risk stratification of syncope in an emergency department[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(11): 964-966.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2019/V30/I11/964

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