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