The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Prospective Validation of the San Francisco Syncope Rule to Predict Patients With Serious Outcomes
Abstract
Study objective We prospectively validate the San Francisco Syncope Rule (history of congestive heart failure, Hematocrit <30%, abnormal ECG result [new changes or non-sinus rhythm], complaint of shortness of breath, and systolic blood pressure <90 mm Hg during triage).Methods In a prospective cohort study, consecutive patients with syncope or near syncope presenting to an emergency department (ED) of a teaching hospital were identified and enrolled from July 15, 2002, to August 31, 2004. Patients with trauma, alcohol, or drug-associated loss of consciousness and definite seizures were excluded. Physicians prospectively applied the San Francisco Syncope Rule after their evaluation, and patients were followed up to determine whether they had had a predefined serious outcome within 30 days of their ED visit.Results Seven hundred ninety-one consecutive visits were evaluated for syncope, representing 1.2% of all ED visits. The average age was 61 years, 54% of patients were women, and 59% of patients were admitted. Fifty-three visits (6.7%) resulted in patients having serious outcomes that were undeclared during their ED visit. The rule was 98% sensitive (95% confidence interval [CI] 89% to 100%) and 56% specific (95% CI 52% to 60%) to predict these events. In this cohort, the San Francisco Syncope Rule classified 52% of the patients as high risk, potentially decreasing overall admissions by 7%. If the rule had been applied only to the 453 patients admitted, it might have decreased admissions by 24%.Conclusion The San Francisco Syncope Rule performed with high sensitivity and specificity in this validation cohort and is a valuable tool to help risk stratify patients. It may help with physician decisionmaking and improve the use of hospital admission for syncope.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Arrhythmic syncope is highly probable when the ECG shows 25-39 : • Persistent sinus bradycardia <40 b.p.m. or sinus pauses >3 s in awake state and in absence of physical training; • Mobitz II second- and third-degree AV block; • Alternating left and right BBB; • VT or rapid paroxysmal SVT;”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [26]
In the citing paper
“Structural heart disease 25-27,31,35,36,45 and primary electrical disease 46 are major risk factors for sudden cardiac death (SCD) and overall mortality in patients with syncope.”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [26]
In the citing paper
“Cardiac ischaemia-related syncope is confirmed when syncope presents with evidence of acute myocardial ischaemia with or without myocardial infarction. 25-39”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [26]
In the citing paper
“A substantial proportion of serious adverse events are not apparent during initial evaluation in the emergency”
From Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope (2016) · cites this paper as [6]
In the citing paper
“Syncope can be caused by serious conditions not evident during initial evaluation, which can lead to serious adverse events, including death, after disposition from the emergency department.”
From Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope (2016) · cites this paper as [6]
Citations
Cites
Incidence and Prognosis of Syncope
Soteriades, E. S., Evans, J. C., Larson, M. G., Chen, M. H., Chen, L., Benjamin, E. J., & Levy, D. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa012407 · Cited by 1,364
Clinical Prediction Rules: Applications and Methodological Standards
Wasson, J. H., Sox, H. C., Neff, R. K., & Goldman, L. (1985) · New England Journal of Medicine · doi:10.1056/nejm198509263131306 · Cited by 1,357
The Canadian C-Spine Rule for Radiography in Alert and Stable Trauma Patients
Stiell, I. G. (2001) · JAMA · doi:10.1001/jama.286.15.1841 · Cited by 1,293
Self-citationLaupacis, A. (1997) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1997.03540300056034 · Cited by 793
A Prospective Evaluation and Follow-up of Patients with Syncope
Kapoor, W. N., Karpf, M., Wieand, S., Peterson, J. R., & Levey, G. S. (1983) · New England Journal of Medicine · doi:10.1056/nejm198307283090401 · Cited by 779
Methodologic Standards for the Development of Clinical Decision Rules in Emergency Medicine
STIELL, I., & WELLS, G. (1999) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(99)70309-4 · Cited by 571
Self-citationGuidelines on management (diagnosis and treatment) of syncope-update 2004. Executive Summary.
Brignole, M., Alboni, P., Benditt, D. G., Bergfeldt, L., Blanc, J., Thomsen, P. E. B., van Dijk, J. G., Fitzpatrick, A. P., Hohnloser, S. H., Janoušek, J., et al. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.09.004 · Cited by 566
Linzer, M., Yang, E. H., Estes III, N. A. M., Wang, P., Vorperian, V. R., & Kapoor, W. N. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-126-12-199706150-00012 · Cited by 437
Derivation of the San Francisco Syncope Rule to predict patients with short-term serious outcomes
Quinn, J. V., Stiell, I. G., McDermott, D. A., Sellers, K. L., Kohn, M. A., & Wells, G. A. (2004) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(03)00823-0 · Cited by 432
Self-citationColivicchi, F. (2003) · European Heart Journal · doi:10.1016/s0195-668x(02)00827-8 · Cited by 359
Research works printed but not linked: 4
- Gallagher, 1997, Hospitalization for fainting, Ann Emerg Med., 29, 540
- Schillinger, 2000, Admission for syncope, Wien Klin Wochenschr, 112, 835
- Bartoletti, 2004, After the 2001 European Society of Cardiology guidelines, Minerva Med., 95, 451
- Del Greco, 2003, Diagnostic pathway of syncope and analysis of the impact of guidelines in a district general hospital, Ital Heart J., 4, 99
Cited by
Sorted by citations
Items 101–200 of 309
Reasons for Hospitalization Among Emergency Department Patients With Syncope
Cook, O., Mukarram, M. A., Rahman, O. M., Kim, S., Arcot, K., Thavorn, K., Taljaard, M., Sivilotti, M. L. A., Rowe, B. H., & Thiruganasambandamoorthy, V. (2016) · Academic Emergency Medicine · doi:10.1111/acem.13053 · Cited by 14
A Rational Evaluation of the Syncope Patient: Optimizing the Emergency Department Visit
Hatoum, T., & Sheldon, R. S. (2021) · Medicina · doi:10.3390/medicina57060514 · Cited by 13
Management of syncope in the Emergency Department: a European prospective cohort study (SEED)
Reed, M. J., Karuranga, S., Kearns, D. R., Alawiye, S., Clarke, B. F., Möckel, M. M., Karamercan, M. A., Janssens, K. A. C., Riesgo, L. G.-C., Torrecilla, F. M., et al. (2023) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000001101 · Cited by 14
Wakai, A., Sinert, R. H., Zehtabchi, S., deSouza, I. S., Benabbas, R., Allen, R. W., Dunne, E., Richards, R. J., Ardilouze, A., & Rovic, I. (2024) · Academic Emergency Medicine · doi:10.1111/acem.15041 · Cited by 13
Thiruganasambandamoorthy, V., McRae, A. D., Rowe, B. H., Sivilotti, M. L. A., Mukarram, M. A., Nemnom, M., Booth, R. A., Calder, L. A., Stiell, I. G., Wells, G. A., et al. (2020) · Annals of Internal Medicine · doi:10.7326/m19-3515 · Cited by 12
Self-citationQuinn, J., Chung, S., Murchland, A. R., Casazza, G., Costantino, G., Solbiati, M., & Furlan, R. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.25860 · Cited by 12
Self-citationHealthcare provider perceptions of clinical prediction rules
Richardson, S. I., Khan, S., McCullagh, L., Kline, M., Mann, D., & McGinn, T. G. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008461 · Cited by 12
Acute myocardial infarction in patients with syncope
McDERMOTT, D. J., Quinn, J., & Murphy, C. E. (2009) · Canadian Journal of Emergency Medicine · doi:10.1017/s148180350001112x · Cited by 12
Self-citationGedanken zur Fehler- und Sicherheitskultur in deutschen Notaufnahmen
Güldner, S., Mang, H., Popp, S., Heuser, D., Krause, M., & Christ, M. (2011) · Notfall + Rettungsmedizin · doi:10.1007/s10049-011-1439-7 · Cited by 12
Syncope and bundle branch block
Moya‐Mitjans, À., Rivas‐Gándara, N., Pérez‐Rodon, J., Pascual, J. F., Santos‐Ortega, A., Fumero, P., & Roca‐Luque, I. (2018) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-018-0560-4 · Cited by 13
Predictors of hospital admission after syncope: relationships with clinical risk scores
Perego, F., Costantino, G., Dipaola, F., Scannella, E., Borella, M., Galli, A., Barbic, F., Casella, F., Solbiati, M., Angaroni, L., et al. (2012) · International Journal of Cardiology · doi:10.1016/j.ijcard.2012.06.061 · Cited by 11
Syncope Risk Stratification in the ED : Directions for Future Research
Sun, B., & Costantino, G. (2013) · Academic Emergency Medicine · doi:10.1111/acem.12122 · Cited by 11
Krishnan, R. J., Mukarram, M. A., Ghaedi, B. B., Sivilotti, M. L. A., Sage, N. L., Yan, J. W., Huang, P., Hegdekar, M., Mercier, É., Nemnom, M., et al. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.191637 · Cited by 11
Self-citationSyncope in the Emergency Department: A Guide for Clinicians
Hussein, M. T. E., & Cuncannon, A. (2020) · Journal of Emergency Nursing · doi:10.1016/j.jen.2020.11.002 · Cited by 11
Recognizing Life-Threatening Causes of Syncope
Khoo, C., Chakrabarti, S., Arbour, L. T., & Krahn, A. D. (2012) · Cardiology Clinics · doi:10.1016/j.ccl.2012.10.005 · Cited by 12
Opportunities for Emergency Medical Services (EMS) Care of Syncope
Long, B., Serrano, L. A., Cabañas, J. G., & Bellolio, F. (2016) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x16000376 · Cited by 10
Personalised risk prediction following emergency department assessment for syncope
Thiruganasambandamoorthy, V., Yan, J. W., Rowe, B. H., Mercier, É., Sage, N. L., Hegdekar, M., Finlayson, A., Huang, P. P., Mohammad, H., Mukarram, M. A., et al. (2021) · Emergency Medicine Journal · doi:10.1136/emermed-2020-211095 · Cited by 11
The management of syncope in older adults.
Ungar, A., Morrione, A., Rafanelli, M., Ruffolo, E., Brunetti, M. A., Chisciotti, V. M., Masotti, G., Rosso, A. D., & Marchionni, N. (2009) · PubMed · Cited by 11
Managing the military patient with syncope
Parsons, I., Cox, A., Mollan, I. A., & Boos, C. J. (2015) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-2015-000493 · Cited by 10
Syncope: Etiology and diagnostic approach
Hanna, E. B. (2014) · Cleveland Clinic Journal of Medicine · doi:10.3949/ccjm.81a.13152 · Cited by 11
Evaluation and Management of Syncope
Thanavaro, J. L. (2009) · Journal of Doctoral Nursing Practice · doi:10.1891/1939-2095.2.2.65 · Cited by 10
Development of an electrocardiogram-based risk calculator for a cardiac cause of syncope
Zimmermann, T., de Lavallaz, J. D. F., Walter, J. E., Strebel, I., Nestelberger, T., Joray, L., Badertscher, P., Flores, D., Widmer, V., Geigy, N., et al. (2021) · Heart · doi:10.1136/heartjnl-2020-318430 · Cited by 11
Anderson, J., & O’Callaghan, P. (2012) · Epilepsia · doi:10.1111/j.1528-1167.2012.03713.x · Cited by 10
External Validation of the San Francisco Syncope Rule
Quinn, J., & McDERMOTT, D. J. (2007) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2007.06.476 · Cited by 10
Self-citationMedical Decisionmaking and the San Francisco Syncope Rule
Quinn, J., & McDERMOTT, D. J. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2006.06.050 · Cited by 10
Self-citationObservation vs admission in syncope: can we predict short length of stays?
Lin, M. J., Wolfe, R. E., Shapiro, N. I., Novack, V., Lior, Y., & Grossman, S. A. (2015) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2015.08.010 · Cited by 9
Syncope risk stratification in the ED
Dipaola, F., Costantino, G., Solbiati, M., Barbic, F., Capitanio, C., Tobaldini, E., Brunetta, E., Zamunér, A. R., & Furlan, R. (2014) · Autonomic Neuroscience · doi:10.1016/j.autneu.2014.04.002 · Cited by 9
A New Feasible Syncope Risk Score Appropriate for Emergency Department: A Prospective Cohort Study
Bozorgi, A., Hosseini, K., Jalali, A., & Tajdini, M. (2018) · Critical Pathways in Cardiology A Journal of Evidence-Based Medicine · doi:10.1097/hpc.0000000000000146 · Cited by 9
Long-term outcomes in syncope patients presenting to the emergency department: A systematic review
Leafloor, C. W., Hong, P. J., Mukarram, M. A., Sikora, L., Elliott, J., & Thiruganasambandamoorthy, V. (2019) · Canadian Journal of Emergency Medicine · doi:10.1017/cem.2019.393 · Cited by 9
The utility of routine D-dimer measurement in syncope
Stockley, C. J., Reed, M. J., Newby, D. E., Coull, A. J., Clegg, G. R., & Gray, A. J. (2009) · European Journal of Emergency Medicine · doi:10.1097/mej.0b013e3283210215 · Cited by 9
Prospective Validation of the San Francisco Syncope Rule: Will It Change Practice?
Miller, C. D., & Hoekstra, J. W. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2005.11.040 · Cited by 9
Thiruganasambandamoorthy, V., Wells, G. A., Hess, E. P., Turko, E., Perry, J. J., & Stiell, I. G. (2014) · CJEM · doi:10.2310/8000.2013.131093 · Cited by 13
Self-citationGuía de práctica clínica para el diagnóstico y manejo del síncope (versión 2009)
Moya‐Mitjans, À., Sutton, R., Ammirati, F., Blanc, J., Brignole, M., Dahm, J. B., Deharo, J., Gajek, J. J., Gjesdal, K., Krahn, A. D., et al. (2009) · Revista Española de Cardiología · doi:10.1016/s0300-8932(09)73132-x · Cited by 23
Syncope: the emergency department and beyond
Williamson, C., & Reed, M. J. (2015) · Internal and Emergency Medicine · doi:10.1007/s11739-015-1298-1 · Cited by 8
Mitro, P., Šimurda, M., & Müller, E. (2017) · Wiener klinische Wochenschrift · doi:10.1007/s00508-017-1197-8 · Cited by 6
Opioid Overdose Protocols in the Emergency Department: Are We Asking the Right Questions?
Doran, K. M., Raja, A. S., & Samuels, E. A. (2018) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2018.05.024 · Cited by 8
Use of QT intervals for a more accurate diagnose of syncope and evaluation of syncope severity
Buttà, C., Tuttolomondo, A., Casuccio, A., Raimondo, D. D., Giarrusso, L., Miceli, G., Vecchio, S. L., Canino, B., Licata, G., & Pinto, A. V. (2014) · International Journal of Clinical Practice · doi:10.1111/ijcp.12387 · Cited by 8
Ungar, A., & Rafanelli, M. (2018) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2018.02.007 · Cited by 8
Syncope management in the UK and Republic of Ireland
Stockley, C. J., Bonney, M. E., Gray, A. J., & Reed, M. J. (2009) · Emergency Medicine Journal · doi:10.1136/emj.2008.062281 · Cited by 8
The influence of temperature and humidity on Emergency Department syncope attendances
Anderson, C. H., & Reed, M. J. (2010) · European Journal of Emergency Medicine · doi:10.1097/mej.0b013e328331ddf9 · Cited by 7
Prediction of Pacemaker Requirement in Patients With Unexplained Syncope: The DROP Score
Xiao, X., William, J., Kistler, P. M., Joseph, S., Patel, H. C., Vaddadi, G., Kalman, J. M., Mariani, J. A., & Voskoboinik, A. (2022) · Heart Lung and Circulation · doi:10.1016/j.hlc.2022.03.002 · Cited by 6
Recommendations for the Evaluation and Management of Observation Services
Peacock, W. F., Beckley, P., Clark, C., Disch, M. F., Hewins, K. J., Hunn, D., Kontos, M. C., Levy, P. D., Mace, S. E., Melching, K. S., et al. (2014) · Critical Pathways in Cardiology A Journal of Evidence-Based Medicine · doi:10.1097/hpc.0000000000000033 · Cited by 8
Syncope: risk stratification and clinical decision making.
Peeters, S., Hoek, A. E., Mollink, S. M., & Huff, J. S. (2014) · PubMed · Cited by 7
Diagnostic algorithm for syncope
Mereu, R., Sau, A., & Lim, P. B. (2014) · Autonomic Neuroscience · doi:10.1016/j.autneu.2014.05.008 · Cited by 7
Barón‐Esquivias, G., Fernández‐Cisnal, A., Arce‐León, Á., Toro, R., Cantero-Pérez, E. M., Parejo-Matos, J., Romero-Rodríguez, N., Montero, E., & Martı́nez, Á. (2016) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000392 · Cited by 6
Syncope Prediction Scores in the Emergency Department
Liu, T., Liang, Y., Li, X., Tse, G., King, E., Roever, L., & Li, G. (2022) · Current Cardiology Reviews · doi:10.2174/1573403x18666220321104129 · Cited by 6
Is head injury characteristic of arrhythmic syncope?
Furukawa, T., Hachiya, H., Isobe, M., & Hirao, K. (2013) · Journal of Arrhythmia · doi:10.1016/j.joa.2012.12.001 · Cited by 6
Syncope in Patients with Organic Heart Disease
Olshansky, B., & Sullivan, R. M. (2015) · Cardiology Clinics · doi:10.1016/j.ccl.2015.04.013 · Cited by 6
Martow, E., & Sandhu, R. K. (2019) · Medical Clinics of North America · doi:10.1016/j.mcna.2019.05.002 · Cited by 6
Trends in use of echocardiography in hospitalized patients with syncope
Satish, M., Walters, R. W., & Alla, V. M. (2018) · Echocardiography · doi:10.1111/echo.14208 · Cited by 6
Vanbrabant, P., & Knockaert, D. C. (2009) · Acta Clinica Belgica · doi:10.1179/acb.2009.069 · Cited by 6
Pines, J. M., & Everett, W. W. (2008) · Wiley eBooks · doi:10.1002/9781444300772 · Cited by 6
ECG Criteria of the San Francisco Syncope Rule
Quinn, J., & McDERMOTT, D. J. (2010) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.06.570 · Cited by 6
Self-citationPredicting the Outcomes of Inpatient Cardiac Evaluation for Syncope Using Validated Risk Scores
Frydman, S., Freund, O., Zornitzki, L., Katash, H. A., Topilsky, Y., & Borenstein, G. (2024) · The American Journal of Medicine · doi:10.1016/j.amjmed.2024.05.035 · Cited by 5
Bispo, J. D. S., Azevedo, P., Mota, T., Fernandes, R., Guedes, J. P., Candeias, R., Marques, N. S., Camacho, A., & de Jesus, I. (2020) · Revista Portuguesa de Cardiologia (English Edition) · doi:10.1016/j.repce.2020.05.012 · Cited by 5
Pivetta, E. E., Moretto, F., Masellis, S., Manasievska, M., Tizzani, M., Dipaola, F., Bovaro, F., Masoero, M., Ferrera, P., Morello, F., et al. (2022) · Internal and Emergency Medicine · doi:10.1007/s11739-021-02909-3 · Cited by 5
Syncope workup: Greater yield in select trauma population
Harfouche, M., Cline, M., Mazzei, M. M., & Santora, T. A. (2017) · International Journal of Surgery · doi:10.1016/j.ijsu.2017.06.080 · Cited by 5
Review article: Utility of troponin after syncope: A systematic review and meta‐analysis
Stark, C. B., Smit, D. V., & Mitra, B. (2018) · Emergency Medicine Australasia · doi:10.1111/1742-6723.12937 · Cited by 6
Score EGSYS para predição de etiologia cardíaca na síncope: tem utilidade no contexto de consulta?
Bispo, J. D. S., Azevedo, P., Mota, T., Fernandes, R., Guedes, J. P., Candeias, R., Marques, N. S., Camacho, A., & de Jesus, I. (2020) · Revista Portuguesa de Cardiologia · doi:10.1016/j.repc.2019.09.009 · Cited by 5
Almulhim, K. N. (2022) · Cureus · doi:10.7759/cureus.22039 · Cited by 5
A Population-Based Study of Syncope in the Young
Roston, T. M., Tran, D. T., Sanatani, S., Sandhu, R. K., Sheldon, R. S., & Kaul, P. (2017) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2017.12.006 · Cited by 5
Syncope and Presyncope: Same Mechanism, Causes, and Concern
Quinn, J. (2014) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2014.09.001 · Cited by 4
Self-citationYau, L., Mukarram, M. A., Kim, S.-M., Arcot, K., Thavorn, K., Stiell, I. G., Taljaard, M., Rowe, B. H., Sivilotti, M. L. A., & Thiruganasambandamoorthy, V. (2018) · Canadian Journal of Emergency Medicine · doi:10.1017/cem.2018.464 · Cited by 4
Self-citationSíncope y escalas de riesgo ¿Qué evidencia se tiene?
Mora, G., Rendón, I. D., Martínez, J. L., Santana, L. J. C., & Eslava, J. H. (2011) · Revista Colombiana de Cardiología · doi:10.1016/s0120-5633(11)70207-8 · Cited by 4
Application of outpatient cardiac testing among emergency department patients with syncope
Cook, O., Mukarram, M. A., Kim, S.-M., Arcot, K., Nemnom, M., Taljaard, M., Sivilotti, M. L. A., Rowe, B. H., & Thiruganasambandamoorthy, V. (2018) · Emergency Medicine Journal · doi:10.1136/emermed-2017-207081 · Cited by 4
Lord, K., Rothenberg, C., Parwani, V. L., Finn, E. B., Khan, A., Sather, J., Ulrich, A. S., Chaudhry, S. I., & Venkatesh, A. K. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.07.040 · Cited by 4
Dímero D: utilidad diagnóstica y aplicación en la clínica
Rosero, H. M., Blanco, J. L., & Gálvez, K. (2010) · Revista Médica de Risaralda (Technological University of Pereira) · doi:10.22517/25395203.819 · Cited by 4
Moya‐Mitjans, À. (2015) · Cardiology Clinics · doi:10.1016/j.ccl.2015.04.015 · Cited by 4
Kanbakan, A. (2024) · doi:10.5152/2314 · Cited by 3
Vom Bewusstseinsverlust zur Synkope
Ebert, H., Walter, C., & Volkmann, H. (2011) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-011-0127-0 · Cited by 3
Potential Role of Biomarkers in the Management of Syncope
Arici, B., Maeder, M., Schüetz, P., Muelle, B., & Albrich, W. C. (2012) · International Journal of Clinical Medicine · doi:10.4236/ijcm.2012.37a131 · Cited by 4
Is syncope a risk predictor in the general population?
Ruwald, M. H., & Nordkamp, L. R. A. O. (2014) · Cardiology Journal · doi:10.5603/cj.a2014.0073 · Cited by 3
Current issues with prediction rules for syncope
Parry, S. W. (2011) · Canadian Medical Association Journal · doi:10.1503/cmaj.111529 · Cited by 3
Bonney, M. E., Reed, M. J., & Gray, A. J. (2008) · Emergency Medicine Journal · doi:10.1136/emj.2008.061176 · Cited by 3
Risk stratification of patients with syncope
Quinn, J. (2007) · Canadian Journal of Emergency Medicine · doi:10.1017/s1481803500015025 · Cited by 3
Self-citationSyncope: initial evaluation and prognosis.
Ebell, M. H. (2006) · PubMed · Cited by 3
Syncope Risk Stratification in the Emergency Department: Another Step Forward
Nicks, B. A., & Hiestand, B. C. (2016) · Academic Emergency Medicine · doi:10.1111/acem.13036 · Cited by 3
Epidemiological studies on syncope.
Ruwald, M. H. (2013) · PubMed · Cited by 3
Ray, J. C., Kusumoto, F. M., & Goldschlager, N. (2014) · Journal of Intensive Care Medicine · doi:10.1177/0885066614552988 · Cited by 3
Weir, C. J., Reed, M. J., Simpson, K., Lang, C., Grubb, N. R., & Gray, A. J. (2020) · doi:10.17504/protocols.io.bgtfjwjn · Cited by 2
Emerging Risk Stratification in Syncope.
Jamalyan, S., & Khachatryan, L. A. (2010) · PubMed · doi:10.5083/ejcm.20424884.11 · Cited by 2
Schuur, J. D., & Justice, A. C. (2008) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2008.00303.x · Cited by 2
The Benefit of Implantable Loop Recorders in the Diagnosis of Recurrent Syncope
Thanavaro, J. L., & Thanavaro, S. (2009) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2009.03.018 · Cited by 2
Der Patient mit Synkope – Realität von Diagnostik und Management in Notaufnahmen
Christ, M., & Greve, Y. (2013) · Therapeutische Umschau · doi:10.1024/0040-5930/a000364 · Cited by 2
Syncope in Patients with Organic Heart Disease
Olshansky, B., & Sullivan, R. M. (2013) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2013.08.006 · Cited by 2
Epidemiological studies on syncope--a register based approach.
Ruwald, M. H. (2013) · PubMed · Cited by 2
Is the San Francisco syncope rule reliable?
Dachs, R. J., Graber, M. A., & Darby-Stewart, A. L. (2009) · PubMed · Cited by 2
Evaluating the patient with loss of consciousness
Stecker, M. M., Stecker, M., & Khan, T. (2015) · Surgical Neurology International · doi:10.4103/2152-7806.157615 · Cited by 2
Malaise, lipothymie et syncope
Cambournac-Buan, A., Dadone, B. C., & Trinh-Duc, A. (2014) · Time to knit · doi:10.1016/s1241-8234(22)47282-8 · Cited by 2
Abied, A. M. E. A. (2011) · International Journal of Advances in Engineering & Technology · Cited by 2
Díaz-Tribaldos, D. C., Mora, G., Olaya, A., Marín, J. E., & Matamoros, F. A. S. (2017) · Archivos de cardiología de México · doi:10.1016/j.acmx.2017.06.007 · Cited by 2
Is the Adenosine Test Obsolete in the Clinical Assessment of Syncope of Unknown Origin?
Sotiriadou, M., Antoniadis, A. P., Fragakis, N., & Vassilikos, V. P. (2021) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2021.39 · Cited by 2
Prevalence of pulmonary embolism in syncope patients
Crooks, S., & Lang, E. (2017) · Canadian Journal of Emergency Medicine · doi:10.1017/cem.2017.369 · Cited by 2
Massicotte‐Azarniouch, D., Kuwornu, J. P., McCallum, M. K., Bansal, N., Lam, N. N., Molnar, A. O., Pun, P. H., Zimmerman, D. L., Garg, A. X., & Sood, M. M. (2018) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2018.08.033 · Cited by 2
A modified Canadian Syncope Risk Score for emergency department use
Giamello, J. D., D’Agnano, S., Melchio, R., Osenda, M., Iride, M., Tricarico, L., Paglietta, G., Artana, N., Abram, S., Bracco, C., et al. (2026) · Internal and Emergency Medicine · doi:10.1007/s11739-026-04276-3 · Cited by 1
Kenny, R. A. (2026) · New England Journal of Medicine · doi:10.1056/nejmcp2517255 · Cited by 3
Mechanism and Prognosis of Syncope in Acquired and Inherited Cardiac Disorders
Ruwald, M. H. (2014) · Journal of Cardiology and Therapy · Cited by 1
Hemodynamic measurements for evaluating vasovagal syncope in the emergency department
Chan, S. S.-W., Mo, J., Graham, C. A., & Rainer, T. H. (2015) · Clinical and Experimental Emergency Medicine · doi:10.15441/ceem.14.047 · Cited by 1
O come, all ye faithful: a study on church syncope
Mitra, B., Tagg, A., Fyfe, E., & O’Reilly, G. M. (2013) · The Medical Journal of Australia · doi:10.5694/mja13.11314 · Cited by 1
Moya‐Mitjans, À. (2013) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2013.08.015 · Cited by 1
Metadata
- Authors
- Quinn, J., McDermott, D., Stiell, I., Kohn, M., & Wells, G.
- Affiliations
- Stanford University (US)
- University of California, San Francisco (US)
- University of Ottawa (CA)
- Corresponding author
- Quinn, James
- Venue
- Annals of Emergency Medicine
- Publisher
- Elsevier BV
- Published
- 2006-05
- Volume
- 47
- Issue
- 5
- Pages
- 448-454
- ISSN
- 0196-0644 (ISSN-L)
- OpenAlex
- W2119384358
- Cited by
- 309
- References
- 44
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 20 · 2023: 8 · 2022: 6 · 2021: 9 · 2020: 19 · 2019: 5 · 2018: 23 · 2017: 20 · 2016: 8 · 2015: 15 · 2014: 20 · 2013: 23 · 2012: 23
- FWCI
- 21.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7k23ar002137-05)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K23 AR002137-050)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- San Francisco Syncope Rule, syncope, presyncope, risk stratification, emergency department triage, congestive heart failure, hematocrit, electrocardiographic abnormalities, dyspnea, hypotension, hospitalization, diagnostic accuracy
- MeSH terms
- Arrhythmias, Cardiac, Attitude of Health Personnel, Clinical Protocols, Emergency Medicine, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Sensitivity and Specificity, Syncope, Cohort Studies, Risk Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
