[Determination of prognostic value of the OESIL risk score at 6 months in a Colombian cohort with syncope evaluated in the emergency department; first Latin American experience].
Autor: | Díaz-Tribaldos DC; Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia., Mora G; Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia; Servicio de Electrofisiología, Fundación Santa Fe de Bogotá, Bogotá, Colombia; Servicio de Electrofisiología, Hospital Universitario Clínica San Rafael, Bogotá, Colombia. Electronic address: gmorap@unal.edu.co., Olaya A; Servicio de Electrofisiología, Fundación Santa Fe de Bogotá, Bogotá, Colombia; Servicio de Electrofisiología, Departamento de Cardiología, Hospital de San José, Bogotá, Colombia; Servicio de Cardiología, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia., Marín J; Servicio de Cardiología, Clínica CES, Medellín, Colombia., Sierra Matamoros F; Epidemiología Clínica, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia. |
---|---|
Jazyk: | Spanish; Castilian |
Zdroj: | Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2018 Jul - Sep; Vol. 88 (3), pp. 197-203. Date of Electronic Publication: 2017 Jul 14. |
DOI: | 10.1016/j.acmx.2017.06.007 |
Abstrakt: | Objectives: To establish the prognostic value, with sensitivity, specificity, positive predictive value, and negative predictive value for the OESIL syncope risk score to predict the presentation of severe outcomes (death, invasive interventions, and readmission) after 6 months of observation in adults who consulted the emergency department due to syncope. Methods: Observational, prospective, and multicentre study with enrolment of subjects older than 18 years, who consulted in the emergency department due to syncope. A record was mad of the demographic and clinical information of all patients. The OESIL risk score was calculated, and severe patient outcomes were followed up during a 6 month period using telephone contact. Results: A total of 161 patients met the inclusion criteria and were followed up for 6 months. A score above or equal to 2 in the risk score, classified as high risk, was present in 72% of the patients. The characteristics of the risk score to predict the combined outcome of mortality, invasive interventions, and readmission for a score above or equal to 2 were 75.7, 30.5, 43.1, and 64.4% for sensitivity, specificity, positive predictive value, and negative predictive value, respectively. Conclusions: A score above or equal to 2 in the OESIL risk score applied in Colombian population was of limited use to predict the studied severe outcomes. This score will be unable to discriminate between patients that benefit of early admission and further clinical studies. (Copyright © 2017 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.) |
Databáze: | MEDLINE |
Externí odkaz: |