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The San Francisco Syncope Rule did not accurately predict serious short-term outcome in patients with syncope

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A Birnbaum

Dr A Birnbaum, Jacobi Medical Center, Bronx, NY, USA; adrienne.birnbaum@gmail.com

STUDY QUESTION

Is the San Francisco Syncope Rule (SFSR) an accurate predictor of serious short-term outcome in patients presenting to the emergency department (ED) with syncope?

STUDY DESIGN

Design:

prospective cohort study to validate a previously derived clinical prediction rule.

Setting:

ED of a university hospital in the Bronx, New York, USA.

Patients:

738 patients ⩾21 years of age (mean age 61 y, 62% women) who presented to the ED with acute syncope or near syncope. Patients with altered mental status or loss of consciousness attributable to alcohol, illicit drugs, seizure, or head trauma were excluded. Outcome data were available for 713 patients …

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