Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Predicting adverse outcomes in syncope.

Shamai A Grossman1, Christopher Fischer, Lewis A Lipsitz

  • 1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02115, USA.

The Journal of Emergency Medicine
|November 3, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Transcranial direct current stimulation targeting the left dorsolateral prefrontal cortex increases gamma power and standing balance in older adults.

The journals of gerontology. Series A, Biological sciences and medical sciences·2026
Same author

Intensity matters: vigorous activity is associated with lower pressure-independent arterial stiffness in the UK Biobank.

The journals of gerontology. Series A, Biological sciences and medical sciences·2026
Same author

National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data.

JAMA·2026
Same author

Characterization of EEG power spectrum correlates of standing and walking in older adults: A scoping review.

Experimental gerontology·2026
Same author

Arterial stiffness moderates the link between NfL and cognition: The IGNITE study.

Alzheimer's & dementia : the journal of the Alzheimer's Association·2025
Same author

Geographical variation in the clinical profile of patients with <i>Candida auris</i>.

Antimicrobial stewardship & healthcare epidemiology : ASHE·2025
Same journal

Mechanical Versus Manual Cardiopulmonary Resuscitation Causing Traumatic Cardiothoracic and Abdominal Injuries: A Meta-Analysis and Systematic Review of Randomized Trials.

The Journal of emergency medicine·2026
Same journal

Drip-and-Ship versus Mothership Model in Acute Ischemic Stroke: A Meta-Analysis Stratified by Stroke System Integration.

The Journal of emergency medicine·2026
Same journal

Response to: "Letter to the Editor Regarding Cervical Spine Clearance in Adult and Pediatric Trauma: A Systematic Review".

The Journal of emergency medicine·2026
Same journal

Ultrasound Characterization of the Distal Thigh Great Saphenous Vein Dimensions in Children and Adults: Implications for Peripheral Rescue Access.

The Journal of emergency medicine·2026
Same journal

A Shadow in the Right Ventricle.

The Journal of emergency medicine·2026
Same journal

Structural Determinants of Telehealth Use Among Patients Presenting to an Urban Safety-Net Emergency Department.

The Journal of emergency medicine·2026
See all related articles

A new clinical decision rule accurately identifies emergency department patients with syncope at high risk for adverse outcomes. This tool aids in determining appropriate hospitalization and critical interventions for syncope patients.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Clinical Decision Making

Background:

  • Syncope is a frequent emergency department (ED) presentation with challenging management and hospitalization decisions.
  • Identifying patients at risk for adverse outcomes or critical interventions is crucial for effective syncope care.

Purpose of the Study:

  • To develop and validate a clinical decision rule for identifying emergency department patients with syncope at high risk for adverse outcomes or critical interventions.

Main Methods:

  • A prospective, observational cohort study enrolled 362 adult patients presenting with syncope.
  • A predefined 8-criterion clinical decision rule was applied to assess patient risk.
  • The primary outcome was a critical intervention or adverse outcome within 30 days.

Related Experiment Videos

Main Results:

  • The decision rule identified 66 out of 68 patients (97% sensitivity) who experienced a critical intervention or adverse outcome.
  • The rule demonstrated a specificity of 62% for identifying patients at risk.
  • Of 362 enrolled patients, 23% experienced an adverse outcome or critical intervention within 30 days.

Conclusions:

  • The developed clinical decision rule shows high sensitivity in identifying syncope patients likely to experience adverse outcomes or require critical interventions.
  • This pathway may assist clinicians in managing syncope patients and determining the need for hospitalization.
  • Further multicenter validation is recommended before widespread clinical implementation.