| dbo:abstract |
The San Francisco Syncope Rule (SFSR) is a rule for evaluating the risk of adverse outcomes in patients presenting with fainting or syncope. The mnemonic for features of the rule is CHESS: • C - History of congestive heart failure • H - Hematocrit < 30% • E - Abnormal ECG • S - Shortness of breath • S - Triage systolic blood pressure < 90 A patient with any of the above measures is considered at high risk for a serious outcome such as death, myocardial infarction, arrhythmia, pulmonary embolism, stroke, subarachnoid hemorrhage, significant hemorrhage, or any condition causing a return Emergency Department visit and hospitalization for a related event. SFSR was retrospectively found to have 98% sensitivity and specificity of 56% for serious causes of syncope. However, external prospective validation of the criteria found sensitivity to be 74%, substantially lower than the initial study. This means that in patients with none of the above criteria, potentially serious causes of syncope were missed in over a quarter of patients. Syncope accounts for 1-2% emergency department visits. Half are hospitalized and of these, 50% have unclear diagnosis and 85% will be simply monitored. (en) |
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| dbo:wikiPageWikiLink |
dbr:Cardiac_arrhythmia dbr:Pulmonary_embolism dbr:Electrocardiogram dbr:Blood_pressure dbr:Myocardial_infarction dbr:Stroke dbr:Subarachnoid_hemorrhage dbr:Emergency_department dbr:Hematocrit dbr:Heart_failure dbr:Fainting dbr:Hemorrhage dbc:Cardiology dbc:Autonomic_nervous_system dbr:Vasovagal_syncope |
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dbt:Cn dbt:Reflist dbt:General_symptoms_and_signs |
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dbc:Cardiology dbc:Autonomic_nervous_system |
| gold:hypernym |
dbr:Rule |
| rdf:type |
dbo:Country |
| rdfs:comment |
The San Francisco Syncope Rule (SFSR) is a rule for evaluating the risk of adverse outcomes in patients presenting with fainting or syncope. The mnemonic for features of the rule is CHESS: • C - History of congestive heart failure • H - Hematocrit < 30% • E - Abnormal ECG • S - Shortness of breath • S - Triage systolic blood pressure < 90 (en) |
| rdfs:label |
San Francisco Syncope Rule (en) |
| owl:sameAs |
freebase:San Francisco Syncope Rule wikidata:San Francisco Syncope Rule https://global.dbpedia.org/id/4ucrB |
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wikipedia-en:San_Francisco_Syncope_Rule?oldid=1040374972&ns=0 |
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wikipedia-en:San_Francisco_Syncope_Rule |
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dbr:SFSR_(disambiguation) |
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dbr:San_francisco_syncope_rule |
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dbr:Syncope_(medicine) dbr:SFSR_(disambiguation) dbr:San_francisco_syncope_rule |
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wikipedia-en:San_Francisco_Syncope_Rule |