Características operativas de la regla de predicción STePS, para desenlaces graves a corto plazo en pacientes con síncope
Cargando...
Autores
Director
Tipo de contenido
Editor
Document language:
Español
Fecha
Título de la revista
ISSN de la revista
Título del volumen
Documentos PDF
Resumen
Introducción: El síncope es una entidad clínica frecuente con un pronóstico variable. El uso de herramientas de estratificación del riesgo permite priorizar la atención. El estudio STePS identificó 4 factores de riesgo de desenlaces graves a 10 días. Nuestro objetivo fue evaluar el rendimiento de esta regla localmente. Metodología: Estudio prospectivo observacional realizado en 2 hospitales de tercer nivel. Se incluyeron pacientes adultos hospitalizados con diagnóstico de síncope. Se evaluaron desenlaces graves a 10 días del evento (Mortalidad, reingreso, Procedimientos terapéuticos mayores). Resultados: El rendimiento de la regla STePS fue AUC-ROC 0,64 (IC95%; 0.53-0.75). Sólo 2 de los 4 parámetros de la regla STePS demostraron ser factores de riesgo para desenlaces graves a 10 días, Electrocardiograma anormal (OR 13.98, IC 95% 1.29-151.9) y trauma concomitante (OR 5.22, IC 95% 1.20-22.67). Conclusión: La regla STePS no tuvo un rendimiento favorable para predicción de desenlaces graves a 10 días del síncope.
Abstract. Introduction: Syncope is a common clinical entity with a variable prognosis. The use of risk stratification tools allows prioritize care. The STEPS trial identified 4 risk factors for severe outcomes at 10 days. Our objective was to evaluate the performance of this rule locally. Methods: Prospective observational study in 2 tertiary hospitals. Hospitalized adult patients with a diagnosis of syncope were included. Serious outcomes at 10 days (mortality, readmission, major therapeutic procedures) were evaluated. Results: The steps rule-ROC AUC was 0.64 (95% CI, 0.53 to 0.75). Only 2 of the 4 parameters of the STEPS rule proved risk factors for severe outcomes at 10 days, abnormal electrocardiogram (OR 13.98, 95% CI 1.29-151.9) and concomitant trauma (OR 5.22, 95% CI 1.20-22.67). Conclusion: The prediction rule Steps had no favorable performance for predicting severe outcomes to 10 days of syncope.
Abstract. Introduction: Syncope is a common clinical entity with a variable prognosis. The use of risk stratification tools allows prioritize care. The STEPS trial identified 4 risk factors for severe outcomes at 10 days. Our objective was to evaluate the performance of this rule locally. Methods: Prospective observational study in 2 tertiary hospitals. Hospitalized adult patients with a diagnosis of syncope were included. Serious outcomes at 10 days (mortality, readmission, major therapeutic procedures) were evaluated. Results: The steps rule-ROC AUC was 0.64 (95% CI, 0.53 to 0.75). Only 2 of the 4 parameters of the STEPS rule proved risk factors for severe outcomes at 10 days, abnormal electrocardiogram (OR 13.98, 95% CI 1.29-151.9) and concomitant trauma (OR 5.22, 95% CI 1.20-22.67). Conclusion: The prediction rule Steps had no favorable performance for predicting severe outcomes to 10 days of syncope.