Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope

Introduction: The use of the ROSE risk score after syncope provides the possibility of identifying patients at risk of death or other important adverse events after 30 days of admission to the emergency department.Objective: To evaluate the performance of ROSE score in terms of mortality prediction...

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Autores:
Paz-Meneses, Manuel Agustín
Mora-Pabón, Guillermo
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/65191
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/65191
http://bdigital.unal.edu.co/66214/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Síncope
Cardiovascular
Pronóstico
Syncope
Cardiovascular
Prognosis
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_67dacd28aa70afc325a5c1a444bcd004
oai_identifier_str oai:repositorio.unal.edu.co:unal/65191
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
title Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
spellingShingle Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
61 Ciencias médicas; Medicina / Medicine and health
Síncope
Cardiovascular
Pronóstico
Syncope
Cardiovascular
Prognosis
title_short Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
title_full Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
title_fullStr Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
title_full_unstemmed Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
title_sort Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope
dc.creator.fl_str_mv Paz-Meneses, Manuel Agustín
Mora-Pabón, Guillermo
dc.contributor.author.spa.fl_str_mv Paz-Meneses, Manuel Agustín
Mora-Pabón, Guillermo
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Síncope
Cardiovascular
Pronóstico
Syncope
Cardiovascular
Prognosis
dc.subject.proposal.spa.fl_str_mv Síncope
Cardiovascular
Pronóstico
Syncope
Cardiovascular
Prognosis
description Introduction: The use of the ROSE risk score after syncope provides the possibility of identifying patients at risk of death or other important adverse events after 30 days of admission to the emergency department.Objective: To evaluate the performance of ROSE score in terms of mortality prediction and major adverse events at 7 and 30 days in adult patients with syncope admitted to the emergency department.Materials and methods: A prospective cohort study in patients with syncope who were admitted to the emergency room was performed. An operational analysis of the predictive ability for detection of possible complications was done by calculating sensitivity, specificity, positive and negative predictive values and ROC curves.Results: 60 patients were evaluated. An area under the curve for prediction of mortality or major outcome at 7 and 30 days of 0.62 (95%CI: 0.45-0.78) was obtained, with sensitivity of 60%, specificity of 18.18%, PPV of 6.25% and NPV of 83%.Conclusion: ROSE score showed low sensitivity for predicting mortality or serious outcomes at 7 and 30 days. Its high negative predictive value makes it a useful prognostic tool in low risk patients.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-07-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T23:57:52Z
dc.date.available.spa.fl_str_mv 2019-07-02T23:57:52Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
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dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Paz-Meneses, Manuel Agustín and Mora-Pabón, Guillermo (2016) Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope. Revista de la Facultad de Medicina, 64 (3). pp. 471-475. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
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dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Paz-Meneses, Manuel Agustín0ebca6bb-a32a-4a39-833c-4b39cbb34b46300Mora-Pabón, Guillermobac95f24-0cfc-4c0e-895b-b5d4a343e1163002019-07-02T23:57:52Z2019-07-02T23:57:52Z2016-07-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/65191http://bdigital.unal.edu.co/66214/Introduction: The use of the ROSE risk score after syncope provides the possibility of identifying patients at risk of death or other important adverse events after 30 days of admission to the emergency department.Objective: To evaluate the performance of ROSE score in terms of mortality prediction and major adverse events at 7 and 30 days in adult patients with syncope admitted to the emergency department.Materials and methods: A prospective cohort study in patients with syncope who were admitted to the emergency room was performed. An operational analysis of the predictive ability for detection of possible complications was done by calculating sensitivity, specificity, positive and negative predictive values and ROC curves.Results: 60 patients were evaluated. An area under the curve for prediction of mortality or major outcome at 7 and 30 days of 0.62 (95%CI: 0.45-0.78) was obtained, with sensitivity of 60%, specificity of 18.18%, PPV of 6.25% and NPV of 83%.Conclusion: ROSE score showed low sensitivity for predicting mortality or serious outcomes at 7 and 30 days. Its high negative predictive value makes it a useful prognostic tool in low risk patients.Introducción. El puntaje de riesgo ROSE para síncope tiene la capacidad de identificar pacientes en riesgo de presentar mortalidad o cualquier otro desenlace adverso mayor a los 30 días de su ingreso a urgencias.Objetivo. Evaluar el rendimiento pronóstico del puntaje para predicción de mortalidad o desenlaces adversos mayores a 7 y 30 días en pacientes adultos con síncope en el servicio de urgencias.Materiales y métodos. Estudio de cohorte prospectivo en pacientes con síncope admitidos en urgencias. Se realizó un análisis operativo de la capacidad predictiva de detección de riesgo de complicaciones calculando sensibilidad, especificidad, valor predictivo positivo (VPP) y negativo (VPN) y curvas ROC.Resultados. Se evaluaron 60 pacientes en los que se obtuvo un área bajo la curva para predicción de mortalidad o desenlaces mayores, tanto a los 7 como a los 30 días, de 0.62 (IC95%: 0.45-0.78), con sensibilidad de 60%, especificidad de 18.18%, VPP de 6.25% y VPN de 83%.Conclusión. El puntaje ROSE mostró una sensibilidad baja para predicción de mortalidad o desenlaces serios mayores a 7 y 30 días. Su alto valor predictivo negativo la hace una herramienta de pronóstico con utilidad en los pacientes de bajo riesgoapplication/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/53015Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaPaz-Meneses, Manuel Agustín and Mora-Pabón, Guillermo (2016) Use of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncope. Revista de la Facultad de Medicina, 64 (3). pp. 471-475. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthSíncopeCardiovascularPronósticoSyncopeCardiovascularPrognosisUse of the ROSE risk score for predicting mortality and cardiovascular events in adult patients at 7 and 30 days of syncopeArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL53015-315242-1-PB.pdfapplication/pdf580943https://repositorio.unal.edu.co/bitstream/unal/65191/1/53015-315242-1-PB.pdf225b42fafc41113f0670c80df65b2a23MD51THUMBNAIL53015-315242-1-PB.pdf.jpg53015-315242-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8868https://repositorio.unal.edu.co/bitstream/unal/65191/2/53015-315242-1-PB.pdf.jpg4854af5b336b8723e9bfd6d023c12be9MD52unal/65191oai:repositorio.unal.edu.co:unal/651912024-05-09 23:09:05.667Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co