View source for ROSE rule for syncope

== 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

[[Category:Neurology]]
[[Category:Cardiology]]