Evidence map›Paper›PMID 41975252›Full record

ReviewInternational journal of emergency medicine2026

Pediatric syncope in the emergency department: a risk-stratified diagnostic and disposition pathway.

Khaled Abouelmagd, Mariam Mohamed Mousa, Sohaila Mohamed Mohamed Abdelbar, Gabriela Berger, Sara Nalli, Alaa Mahmoud Zawrah, Kisa Fatima, Mohammed Alsabri

Abstract readReview
In one paragraph

Review in International journal of emergency medicine, 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. 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

8 authors.

Khaled AbouelmagdCardiology Department, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Mariam Mohamed MousaFaculty of Medicine, Menofia University, Menofia, Egypt.
Sohaila Mohamed Mohamed AbdelbarKasr Al-Ainy Medical Hospitals, Cairo University, Cairo, Egypt.
Gabriela BergerSt. George's University School of Medicine, Brooklyn, NY, USA.
Sara NalliSt. George's University School of Medicine, Brooklyn, NY, USA.
Alaa Mahmoud ZawrahEl Sheikh Zayed Specialized Hospital, Cairo, Egypt.
Kisa FatimaDow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Mohammed AlsabriDepartment of Emergency, Althawara Modern General Hospital, Sanaa, Yemen. alsabri5000@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric syncope accounts for 1–3% of emergency department (ED) visits. Although most cases are benign, 4% are caused by cardiac disease and 3% by seizures, which carry a risk of sudden death or neurologic injury if missed. Vasovagal syncope accounts for 52–74% of cases and postural orthostatic tachycardia syndrome (POTS) for approximately 13%.

objectiveTo provide an emergency-department risk-stratified diagnostic and disposition framework for pediatric syncope. KEY

findingsA universal 12-lead electrocardiogram (ECG) identifies nearly all life-threatening cardiac causes of syncope. When combined with structured red-flag screening and clinical risk stratification, patients can be reliably divided into low-, intermediate-, and high-risk groups, allowing safe discharge of benign cases and rapid admission of dangerous ones.

conclusionA standardized ED syncope pathway based on risk tiers and ECG-first evaluation improves patient safety while reducing unnecessary admissions and testing. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Diagnostic pathwayElectrocardiographyEmergency departmentPediatric syncopeRisk stratification

Identifiers

PMID41975252
PMCPMC13077949

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.