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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Canadian Syncope Risk Score

    Predicts 30-day serious adverse events in patients presenting with syncope.

    INSTRUCTIONS

    Applicable to patients ≥16 years old presenting ≤24 hours of syncope. Do not use if: prolonged (>5 min) LOC, change in mental status from baseline, obvious witnessed seizure, major trauma, intoxication, language barrier, or head trauma causing LOC. This calculator is externally validated, according to data presented at the Society for Academic Emergency Medicine Annual Meeting 2018.

    When to Use
    Pearls/Pitfalls
    Why Use
    • Patients ≥16 years old presenting ≤24 hours of syncope.
    • Do not use in patients with any of the following:
      • Prolonged (>5 min) LOC.
      • Change in mental status from baseline.
      • Obvious witnessed seizure.
      • Major trauma requiring hospital admission.
      • Intoxication with alcohol or illicit drugs.
      • Language barrier.
      • Head trauma causing LOC.
    • Predicts risk of 30-day serious adverse events associated with syncope, defined as any of the following: death, arrhythmia, non-arrhythmic cardiac causes, or non-cardiac causes (see Evidence for full list).
    • In 2020, the CSRS was successfully validated (see Evidence, below).
    • Syncope is a common, often benign presenting complaint in emergency departments, that sometimes has life-threatening underlying causes. The Canadian Syncope Risk Score identifies patients with syncope who are at higher risk of adverse outcomes.
    • Can potentially avoid unnecessary investigation and/or admission.
    No
    0
    Yes
    -1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    No
    0
    Yes
    +2
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    Vasovagal syncope
    -2
    Cardiac syncope
    +2
    Neither
    0

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Venkatesh Thiruganasambandamoorthy

    About the Creator

    Venkatesh Thiruganasambandamoorthy, MBBS, CCFP-EM, MSc, is an emergency physician and associate professor in the department of emergency medicine and epidemiology / community medicine at the Ottawa Hospital Research Institute in Ottawa, Canada. He heads the Venk Group, a research program that aims to reduce morbidity and mortality from syncope and pre-syncope using robust risk-stratification, particularly for identifying low-risk patients. Dr. Thiruganasambandamoorthy is a founding member of the Canadian Syncope Alliance, a national collaboration aiming to improve syncope care in Canada.

    To view Dr. Venkatesh Thiruganasambandamoorthy's publications, visit PubMed

    Are you Dr. Venkatesh Thiruganasambandamoorthy? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    About the Creator
    Dr. Venkatesh Thiruganasambandamoorthy
    Are you Dr. Venkatesh Thiruganasambandamoorthy?
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