Reliability of Clinical Assessments in Older Adults With Syncope or Near Syncope.

ABSTRACT:

Objectives

Clinical prediction models for risk stratification of older adults with syncope or near syncope may improve resource utilization and management. Predictors considered for inclusion into such models must be reliable. Our primary objective was to evaluate the inter-rater agreement of historical, physical examination, and electrocardiogram (ECG) findings in older adults undergoing emergency department (ED) evaluation for syncope or near syncope. Our secondary objective was to assess the level of agreement between clinicians on the patient's overall risk for death or serious cardiac outcomes.

Methods

We conducted a cross-sectional study at 11 EDs in adults 60 years of age or older who presented with unexplained syncope or near syncope. We excluded patients with a pres

SUBMITTER: Nishijima DK 

PROVIDER: S-EPMC5102262 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature