Evidence map›Paper›PMID 32121225›Full record

ArticleJournal of clinical medicine2020

Role of Biomarkers in the Prediction of Serious Adverse Events after Syncope in Prehospital Assessment: A Multi-Center Observational Study.

Francisco Martín-Rodríguez, Carlos Del Pozo Vegas, Alicia Mohedano-Moriano, Begoña Polonio-López, Clara Maestre Miquel, Antonio Viñuela, Carlos Durantez Fernández, Jesús Gómez Correas, Raúl López-Izquierdo, José Luis Martín-Conty

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The use and impact of prehospital blood lactate measurements in acute non-traumatic patients: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Pooled it
  2. Article
  3. Review
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

10 authors.

Francisco Martín-RodríguezAdvanced Clinical Simulation Center, School of Medicine, Universidad de Valladolid. Advanced Life Support Unit, Emergency Medical Services, Valladolid 47005, Spain.
Carlos Del Pozo VegasEmergency Department, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.
Alicia Mohedano-MorianoFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Begoña Polonio-LópezFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Clara Maestre MiquelFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Antonio ViñuelaFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Carlos Durantez FernándezFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Jesús Gómez CorreasFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.
Raúl López-IzquierdoEmergency Department, Hospital Universitario Rio Hortega, 47012 Valladolid, Spain.
José Luis Martín-ContyFaculty of Health Sciences. Universidad de Castilla la Mancha, 45600 Talavera de la Reina, Spain.

Funding

undefined <span style="color:gray;font-size:10px;">undefined</span> GRS 1678/A/18undefined <span style="color:gray;font-size:10px;">undefined</span> INT/E/02/19
6 · The paper itself

Abstract

Syncope is defined as the nontraumatic, transient loss of awareness of rapid onset, short duration and with complete spontaneous recovery, and accounts for 1%-3% of all visits to the emergency department. The objective of this study was to evaluate the predictive capacity of the National Early Warning Score 2 (NEWS2) and prehospital lactate (pLA), individually and combined, at the prehospital level to detect patients with syncope at risk of early mortality (within 48 h) in the hospital environment. A prospective, multicenter cohort study without intervention was carried out on syncope patients aged over 18 who were given advanced life support and taken to the hospital. Our study included a total of 361 cases. Early mortality affected 21 patients (5.8%). The combined score formed by the NEWS2 and the pLA (NEWS2-L) obtained an AUC of 0.948 (95% CI: 0.88-1) and an odds ratio of 86.25 (95% CI: 11.36-645.57), which is significantly higher than that obtained by the NEWS2 or pLA in isolation (

Indexed as

clinical decisionclinical deteriorationearly mortalityearly warning scoreslactateprehospital caresyncope

Identifiers

PMID32121225
PMCPMC7141384

What OpenQuestion holds

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LicenceCC BY
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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.