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Master Thesis

Validation d'un score d'aide à la décision médicale pour l'orientation des patients présentant une syncope‎ : étude non interventionnelle prospective monocentrique aux urgences du CHU de Grenoble

Abstract : Background: Syncope is a frequent symptom in the Emergency Department (ED). The SYNCSCOR tool is developed with clinical parameters of the ESC recommendations 2009 and validated scores regarding syncope to help the clinician for patients (pts) orientation : intensive, differed or no further evaluation. Method: In this non interventionnal monocentric study, pts admitted in the ED of Grenoble University Hospital for syncope were prospectively included from July 2013 to January 2014. The SYNCSCOR was calculated a posteriori for all pts. The main objective was to validate the tool for the prediction of serious outcomes within 3 months (death, major cardiovascular events, cardiovascular interventional therapy, related event). Results: 94 pts were included (males 54%, mean age 66 years old, history of cardiopathy 56%). After the ED evaluation, 39% were admitted, 45% were addressed to outpatient clinic and 16% were released. Serious outcomes occurred in 25 pts. The sensitivity and specificity, of SYNCSCOR for the primary criteria was 96% (95% Confidence interval [CI] 80 to 99%) and 24% (95% CI 16 to 36%). The negative predictive value of the tool was 94% (95% CI 73 to 99%). Conclusion: SYNCSCOR is a useful screening tool to improve reliability to the recommendations in the ED. It can help to limit no necessary complementary exams, overprescribed for patients at low risk, and to lead patients to an immediate intensive evaluation (syncope unit) in case of high risk criteria. As SYNCSCOR is only based on clinical parameters. SYNSCOR can be easily proposed in the community care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01017452
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Submitted on : Wednesday, July 2, 2014 - 3:25:08 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Tuesday, October 13, 2015 - 3:06:05 PM

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  • HAL Id : dumas-01017452, version 1

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Damien Cadinot, Samuel Baillon. Validation d'un score d'aide à la décision médicale pour l'orientation des patients présentant une syncope‎ : étude non interventionnelle prospective monocentrique aux urgences du CHU de Grenoble. Médecine humaine et pathologie. 2014. ⟨dumas-01017452⟩

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