Determination of prognostic value of the OESIL risk score at 6 months in a Colombian cohort with syncope evaluated in the emergency department; first Latin American experience.

Determination of prognostic value of the OESIL risk score at 6 months in a Colombian cohort with syncope evaluated in the emergency department; first Latin American experience.

Archivos de cardiología de México, July 2017

28716580

Diana Carolina Díaz-Tribaldos, Guillermo Mora, Alejandro Olaya, Jorge Marín, Fabio Sierra Matamoros

To establish the prognostic value with sensitivity, specificity, positive predictive value, and negative predictive value for the OESIL syncope risk score to predict the presentation of severe outcomes (death, invasive interventions, and readmission) within 6 months of observation in adults who consult to the emergency department because of syncope. Observational, prospective, and multicenter study with enrolment of subjects older than 18 years, who consulted to the emergency department because of syncope. We obtained patient's demographic and clinical information. The OESIL risk score was calculated, and patient's severe outcomes were followed up during 6 months through telephone contact. One hundred and sixty-one patients met the inclusion criteria and were followed for 6 months. A score above or equal of 2 in the risk score was classified as high risk, which was present in 72% of the patients. The characteristics of the risk score to predict the combined outcome of mortality, invasive interventions, and readmission for a score above or equal of 2 were 75.7, 30.5, 43.1, and 64.4% for sensitivity, specificity, positive predictive value, and negative predictive value, respectively. A score above or equal of 2 in the OESIL risk score applied in Colombian population has limited utility to predict the studied severe outcomes. This score will not allow to discriminate among patients that benefit of early admission and additional clinical studies.