Evidence map›Paper›PMID 30413862›Full record

ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2019

[Transient loss of consciousness : Algorithm for the (differential) diagnosis of syncope at emergency department].

F Sayk, M Frimmel, C Dodt, H-J Busch, S Wolfrum

Abstract readReview
PubMed Publisher
In one paragraph

Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Acute Onset of Impaired Consciousness.Deutsches Arzteblatt international · 2024
    Review
  2. Article
  3. [Treatment algorithm: Syncope].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

F SaykSektion Interdisziplinäre Intensivmedizin, Sana-Kliniken Lübeck GmbH, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland. friedhelm.sayk@sana.de.
M FrimmelSektion Interdisziplinäre Intensivmedizin, Sana-Kliniken Lübeck GmbH, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland.
C DodtNotfallzentrum Klinikum Bogenhausen, München, Deutschland.
H-J BuschUniversitäres Notfallzentrum, Universitätsklinikum Freiburg, Freiburg, Deutschland.
S WolfrumInterdisziplinäre Notaufnahme, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transient loss of consciousness (TLoC) is a common complaint leading to presentation at the emergency department. This comprises a heterogeneous group of disorders including cerebral events, metabolic disturbances, intoxication, psychogenic patterns or any form of syncope. While many causes are benign and self-limited not requiring extensive in-hospital evaluation, others are potentially severe. The optimal evaluation of patients with TLoC/syncope follows a risk-adapted diagnostic algorithm in order to exclude life-threatening conditions and to identify those with high risk for further deterioration like structural heart diseases requiring further diagnostic evaluation. Low-risk patients can be discharged without further extensive diagnostic work up. This article presents an algorithm for structured, evidence-based care of the syncope patient in accordance with the recently launched "2018 ESC guidelines for the diagnosis and management of syncope" in order to ensure that patients requiring hospitalization are managed appropriately and those with benign causes are discharged safely. The English version of this algorithm is available at the end of the article under "Supplementary Material".

Indexed as

SyncopeUnconsciousnessAlgorithmsDiagnosis, DifferentialEmergency Service, HospitalHumansDrop attacksEpileptic seizuresFaintingRisk adjusted managementStandard operating procedure

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.