Which patients with syncope should be admitted?
A score >3 is considered the best discriminator for a diagnosis of cardiac syncope with a sensitivity of 95% and a specificity of 61%. This confers a PPV of 33% but a NPV of 99%.
A score >4 has a sensitivity of 32% and a specificity of 99%. This confers a PPV and NPV of 88%.
On follow-up a score >3 over an average of 614 days had a significantly higher mortality. Therefore it is recommended that any patient with a score >3 be admitted to hospital for diagnostic confirmation
Del Rosso A, Ungar A, Maggi R, Giada F, Petix NR, De Santo T, Menozzi C, Brignole M.
A score >3 is considered the best discriminator for a diagnosis of cardiac syncope with a sensitivity of 95% and a specificity of 61%. This confers a PPV of 33% but a NPV of 99%.
A score >4 has a sensitivity of 32% and a specificity of 99%. This confers a PPV and NPV of 88%.
On follow-up a score >3 over an average of 614 days had a significantly higher mortality. Therefore it is recommended that any patient with a score >3 be admitted to hospital for diagnostic confirmation
Del Rosso A, Ungar A, Maggi R, Giada F, Petix NR, De Santo T, Menozzi C, Brignole M.
© 2020 QxMD Software Inc., all rights reserved. No part of this service may be reproduced in any way without express written consent of QxMD. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgment or guide individual patient care in any manner. Click here for full notice and disclaimer.
