Rule 1 (EGSYS): initial evaluation decision rule for prediction of death63Rule 2 (OESIL score): for prediction of death49
  • Palpitations preceding syncope (+4)
  • Age 65 years and older
  • Clinical history of cardiovascular disease
  • Precipitating or predisposing factors or both (warm, crowded place; prolonged orthostasis; fear/pain/emotion) (−1)
  • Autonomic prodromes (nausea and/or vomiting) (−1)
In the ED, patients are classified as being at risk of death if the total points score is 4 or more.Score one point for each of the above. Patients with more than 1 risk factor are considered at risk of death.

Osservatorio Epidemiologico sulla Sincope nel Lazio

From: 3, Initial assessment and diagnosis of people who had TLoC

Cover of Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People
Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People [Internet].
NICE Clinical Guidelines, No. 109.
National Clinical Guideline Centre for Acute and Chronic Conditions (UK).
Copyright © National Clinical Guideline Centre for Acute and Chronic Conditions, 2010.

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