Assessing the Predictive Value of Combining Risk Scoring Systems and Ultrasonography for Short-Term Adverse Outcomes in Syncope: A Prospective Observational Study

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dc.authoridAltuncı, Yusuf Ali/0000-0002-4803-5419
dc.authoridKarbek Akarca, Funda/0000-0003-2455-8044
dc.contributor.authorSekreter, Tarik
dc.contributor.authorAltunci, Yusuf Ali
dc.contributor.authorUz, Ilhan
dc.contributor.authorAkarca, Funda Karbek
dc.date.accessioned2024-08-31T07:50:30Z
dc.date.available2024-08-31T07:50:30Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: In the emergency department (ED), the role of ultrasonography (USG) in risk stratification and predicting adverse events in syncope patients is a current research area. However, it is still unclear how ultrasound can be combined with existing risk scores. Objectives: In this study, it was aimed to examine the contribution of the use of bedside USG to current risk scores in the evaluation of patients presenting to the ED with syncope. The predictive values of the combined use of USG and risk scores for adverse outcomes at 7 and 30 days were examined. Methods: The Canadian Syncope Risk Score (CSRS), San Francisco syncope rules (SFSR), USG findings of carotid and deep venous structures, and echocardiography results were recorded for patients presenting with syncope. Parameters showing significance in the 7-day and 30-day adverse outcome groups were utilized to create new scores termed CSRS-USG and SFSR-USG. Predictive values were evaluated using receiver operating characteristic (ROC) analysis. The difference between the predictive values was evaluated with the DeLong test. Results: The study was carried out with 137 participants. Adverse outcomes were observed in 45 participants (32.8%) within 30 days. 32 (71.7%) of the adverse outcomes were in the first 7 days. For 30-day adverse outcomes, the SFSR-USG ( p = 0.001) and CSRS-USG ( p = 0.038) scores had better predictive accuracy compared to SFSR and CSRS, respectively. However, there was no sig nificant improvement in sensitivity and specificity values. Conclusion: The use of USG in the evaluation of syncope patients did not result in significant improvement in sensitivity and specificity values for predicting adverse events. However, larger sample-sized studies are needed to understand its potential contributions better. (c) 2024 Elsevier Inc. All rights reserved.en_US
dc.description.sponsorshipThe authors declare that no funds, grants, or other support were received during the preparation of this manuscript.en_US
dc.identifier.doi10.1016/j.jemermed.2024.03.016
dc.identifier.endpagee208en_US
dc.identifier.issn0736-4679
dc.identifier.issn1090-1280
dc.identifier.issue2en_US
dc.identifier.pmid38824037en_US
dc.identifier.scopus2-s2.0-85194918398en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpagee198en_US
dc.identifier.urihttps://doi.org/10.1016/j.jemermed.2024.03.016
dc.identifier.urihttps://hdl.handle.net/11454/105258
dc.identifier.volume67en_US
dc.identifier.wosWOS:001283168700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectSyncopeen_US
dc.subjectCanadian Syncope Risk Scoreen_US
dc.subjectSan Francisco Syncope Rulesen_US
dc.subjectEmergency Departmenten_US
dc.titleAssessing the Predictive Value of Combining Risk Scoring Systems and Ultrasonography for Short-Term Adverse Outcomes in Syncope: A Prospective Observational Studyen_US
dc.typeArticleen_US

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