@mastersthesis{10336/5019,
author = {Bojacá Torres, Carlos},
year = {2014},
url = {http://repository.urosario.edu.co/handle/10336/5019},
abstract = {Introduction: Syncope is a common complaint in the emergency
department, defining the proper studies and destination of these patients
is still a matter of debate. There have been various tools designed to
help establish which of these patients are at risk of having an adverse
outcome, and therefore require admission. In this study ther are
compared the operative characteristics of 4 scales for the
decisión to hospitalize patients with syncope that they consult to
a emergency department of an III/IV level hospital
Methods: Analytic cross study, in which 4 risk scales were applied to
patients consulting with a chief complaint of syncope in the emergency
department, and were admitted during a 6 month period in a single
institution. The results were evaluated with Epidat 3.1 to calculate
sensitivity and specificity, Youden index.
Results: 91 patients were included in total. The sensibility of the scales
San Francisco, OESIL, EGSYS and the institutional one for the
requirement of hospitalization was 79 %, 87 %. 63 % and 95 %
respectively and the specificity was 52 %, 40 %, 64 % and 14 %. THE
risk of mortality was not detected adequately by the scale of San
Francisco.
Conclusions: None of the scales applied to the hospitalized patients
who consulted for sìncope to urgencies overcame the clinical judgment
to define the hospitalization. Nevertheless, the scale OESIL and the
institutional one can help to corroborate the clinical decision to
hospitalize in this population.},
keywords = {Escalas de riesgo},
keywords = {Sìncope},
keywords = {Decisiones en Urgencias},
title = {Comparación de cuatro escalas de riesgo en pacientes que consultaron por síncope al servicio de urgencias},
publisher = {Universidad del Rosario},
keywords = {Risk Scales},
keywords = {Syncope},
keywords = {Emergency department decision},
}