Evidence map›Paper›PMID 38892942›Full record

ReviewJournal of clinical medicine2024

Syncope in the Emergency Department: A Practical Approach.

Ludovico Furlan, Giulia Jacobitti Esposito, Francesca Gianni, Monica Solbiati, Costantino Mancusi, Giorgio Costantino

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Streamlining Care: Effective Approaches to Decreasing Observation Status Length of Stay in Community Medical Centers.Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    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

6 authors.

Ludovico FurlanDepartment of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-4035-9101
Giulia Jacobitti EspositoEmergency Medicine School, Department of Advanced Biomedical Science, University of Naples Federico II, 80138 Naples, Italy.
Francesca GianniDepartment of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.
Monica SolbiatiDepartment of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.ORCID 0000-0003-1964-3770
Costantino MancusiEmergency Medicine School, Department of Advanced Biomedical Science, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-6690-1408
Giorgio CostantinoDepartment of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.

Funding

Italian Ministry of Health Current Research IRCCS
6 · The paper itself

Abstract

Syncope is a common condition encountered in the emergency department (ED), accounting for about 0.6-3% of all ED visits. Despite its high frequency, a widely accepted management strategy for patients with syncope in the ED is still missing. Since syncope can be the presenting condition of many diseases, both severe and benign, most research efforts have focused on strategies to obtain a definitive etiologic diagnosis. Nevertheless, in everyday clinical practice, a definitive diagnosis is rarely reached after the first evaluation. It is thus troublesome to aid clinicians' reasoning by simply focusing on differential diagnoses. With the current review, we would like to propose a management strategy that guides clinicians both in the identification of conditions that warrant immediate treatment and in the management of patients for whom a diagnosis is not immediately reached, differentiating those that can be safely discharged from those that should be admitted to the hospital or monitored before a final decision. We propose the mnemonic acronym RED-SOS: Recognize syncope; Exclude life-threatening conditions; Diagnose; Stratify the risk of adverse events; Observe; decide on the Setting of care. Based on this acronym, in the different sections of the review, we discuss all the elements that clinicians should consider when assessing patients with syncope.

Indexed as

arrhythmiamanagement reasoningorthostatic hypotensionrisk stratificationsyncope

Identifiers

PMID38892942
PMCPMC11172976

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.