ROSE rule for syncope

From IDWiki

Definition

  • Rule-out clinical decision aid for assessing the risk of serious events in undifferentiated syncope

Criteria

  • BNP concentration of at least 300 pg/mL (odds ratio 7.3)
  • Positive rectal exam for fecal occult blood in patients with suspected gastrointestinal bleeding (OR 13.2)
  • Hemoglobin no greater than 90 g/L (OR 6.7)
  • Q waves on electrocardiogram (but not in lead III) (OR 2.8)
  • Left bundle branch block on electrocardiogram (OR 4.8)
  • Oxygen saturation no greater than 94% on room air (OR 3.0)

Use

  • If any criteria are positive, you should strongly consider admitting the patient for inpatient monitoring and evaluation

See Also

  • San Francisco Syncope Rule