Standardized Reporting Guidelines for Emergency Department Syncope Risk‐stratification Research
Open Access
- 11 June 2012
- journal article
- special contribution
- Published by Wiley in Academic Emergency Medicine
- Vol. 19 (6), 694-702
- https://doi.org/10.1111/j.1553-2712.2012.01375.x
Abstract
ACADEMIC EMERGENCY MEDICINE 2012; 19:694–702 © 2012 by the Society for Academic Emergency Medicine Abstract There is increasing research interest in the risk stratification of emergency department (ED) syncope patients. A major barrier to comparing and synthesizing existing research is wide variation in the conduct and reporting of studies. The authors wanted to create standardized reporting guidelines for ED syncope risk‐stratification research using an expert consensus process. In that pursuit, a panel of syncope researchers was convened and a literature review was performed to identify candidate reporting guideline elements. Candidate elements were grouped into four sections: eligibility criteria, outcomes, electrocardiogram (ECG) findings, and predictors. A two‐round, modified Delphi consensus process was conducted using an Internet‐based survey application. In the first round, candidate elements were rated on a five‐point Likert scale. In the second round, panelists rerated items after receiving information about group ratings from the first round. Items that were rated by >80% of the panelists at the two highest levels of the Likert scale were included in the final guidelines. There were 24 panelists from eight countries who represented five clinical specialties. The panel identified an initial set of 183 candidate elements. After two survey rounds, the final reporting guidelines included 92 items that achieved >80% consensus. These included 10 items for study eligibility, 23 items for outcomes, nine items for ECG abnormalities, and 50 items for candidate predictors. Adherence to these guidelines should facilitate comparison of future research in this area.Keywords
This publication has 56 references indexed in Scilit:
- Mental Health First Aid guidelines for helping a suicidal person: a Delphi consensus study in JapanInternational Journal of Mental Health Systems, 2011
- Accuracy and Quality of Clinical Decision Rules for Syncope in the Emergency Department: A Systematic Review and Meta-analysisAnnals of Emergency Medicine, 2010
- The development of an internet-based outpatient cardiac rehabilitation intervention: a Delphi studyBMC Cardiovascular Disorders, 2010
- Predictors of Short-Term (Seven-Day) Cardiac Outcomes After Emergency Department Visit for SyncopeThe American Journal of Cardiology, 2010
- Predictors of 30-Day Serious Events in Older Patients With SyncopeAnnals of Emergency Medicine, 2009
- Guidelines for the diagnosis and management of syncope (version 2009): The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC)European Heart Journal, 2009
- Predicting Adverse Outcomes in SyncopeThe Journal of Emergency Medicine, 2007
- Prospective Validation of the San Francisco Syncope Rule to Predict Patients With Serious OutcomesAnnals of Emergency Medicine, 2006
- Derivation of the San Francisco Syncope Rule to predict patients with short-term serious outcomesAnnals of Emergency Medicine, 2004
- A Method for the Detailed Assessment of the Appropriateness of Medical TechnologiesInternational Journal of Technology Assessment in Health Care, 1986