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Ann Emerg Med. 2014 Dec;64(6):649-55.e2. doi: 10.1016/j.annemergmed.2014.04.014. Epub 2014 Jun 2.

Priorities for emergency department syncope research.

Author information

1
Department of Emergency Medicine, Oregon Health and Science University, Portland, OR. Electronic address: sunb@ohsu.edu.
2
Division of Medicine and Pathophysiology, Università degli Studi di Milano, Milan, Italy; Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
3
BIOMETRA Department-Humanitas Clinical and Research Center, Rozzano (MI), Università degli Studi di Milano, Milan, Italy.
4
Emergency Medicine Department, S. Anna Hospital, Como, Italy.
5
Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
6
School of Medicine, University of California-San Francisco, San Francisco, CA.
7
Division of Emergency Medicine, Stanford University, Stanford, CA.
8
Emergency Medicine Research Group Edinburgh, Royal Infirmary of Edinburgh, United Kingdom.
9
Department of Cardiac Sciences, University of Calgary, Calgary, Canada.
10
Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
11
Division of Cardiology, University of British Columbia, Vancouver, Canada.
12
STARS, United Kingdom.
13
Max Planck Institute for Human Development, Berlin, Germany.
14
Division of Cardiology, Ospedali del Tigullio, Lavagna, Italy.
15
Department of Emergency Medicine, Alessandria, Italy.
16
CNR, Torino, Italy.
17
Ospedale di Alessandria, Alessandria, Italy.
18
Division of Cardiology, University of Iowa Medical Center, Iowa City, IA.
19
Departments of Medicine and Pharmacology, Vanderbilt University, Nashville, TN.
20
Division of Cardiology, Gentofte Hospital, Copenhagen, Denmark.
21
Division of Cardiology, Mayo Clinic, Phoenix, AZ.
22
Division of Geriatrics, Ospedale Careggi, Firenze, Italy.
23
Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands.
24
Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands.

Abstract

STUDY OBJECTIVES:

There is limited evidence to guide the emergency department (ED) evaluation and management of syncope. The First International Workshop on Syncope Risk Stratification in the Emergency Department identified key research questions and methodological standards essential to advancing the science of ED-based syncope research.

METHODS:

We recruited a multinational panel of syncope experts. A preconference survey identified research priorities, which were refined during and after the conference through an iterative review process.

RESULTS:

There were 31 participants from 7 countries who represented 10 clinical and methodological specialties. High-priority research recommendations were organized around a conceptual model of ED decisionmaking for syncope, and they address definition, cohort selection, risk stratification, and management.

CONCLUSION:

We convened a multispecialty group of syncope experts to identify the most pressing knowledge gaps and defined a high-priority research agenda to improve the care of patients with syncope in the ED.

[Indexed for MEDLINE]
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