Evidence map›Paper›PMID 41094061›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2026

[Syncope diagnosis in the emergency room-importance of the ESC guidelines].

H Epping, M Müller-Schilling, G Dirrigl, F Rockmann, T Brünnler

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Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

H EppingKlinik für Allgemeine Innere Medizin und Geriatrie, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Deutschland.
M Müller-SchillingKlinik und Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, Regensburg, Deutschland.
G DirriglInstitut für Allgemeinmedizin und Versorgungsforschung, Technische Universität München, München, Deutschland.
F RockmannNotfallzentrum, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland.
T BrünnlerNotfallzentrum, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland. tanja.bruennler@barmherzige-regensburg.de.ORCID http://orcid.org/0000-0003-0224-1388

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyncope is a common and clinically relevant condition in the emergency department. Accurate risk stratification is essential to distinguish between benign and serious causes, guiding appropriate outpatient or inpatient management. This is crucial for preventing complications and ensuring cost-effective care.

objectiveThis study evaluates the applicability of the 2018 ESC guidelines (European Society of Cardiology) in clinical practice.

methodsA retrospective analysis was conducted at a tertiary care emergency department. Data from all patients who presented with syncope in 2022 were included.

resultsA total of 492 patients were analyzed, including 327 (62.8%) inpatients who underwent full evaluation. High-risk criteria were significantly more frequent among inpatients, while low-risk syncope was more common in the outpatient group. The high-risk criteria of the ESC guidelines demonstrated a sensitivity of 90.8% for the detection of dangerous syncope. In addition, recurrent syncope within the last 12 months was associated with an increased risk of dangerous syncope.

conclusionThe ESC guidelines demonstrated a sensitivity of over 90%, establishing them as a reliable tool for risk stratification in patients with syncope. Recurrent syncope may represent an additional high-risk criterion that should be further investigated in future prospective studies.

Indexed as

Emergency Service, HospitalGuideline AdherencePractice Guidelines as TopicSyncopeAgedAged, 80 and overDiagnosis, DifferentialEmergency Room VisitsFemaleGermanyHumansMiddle AgedRecurrenceRetrospective StudiesRisk AssessmentEmergency departmentLoss of consciousnessOrthostasisRisk stratificationSyncope

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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.