Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    OESIL Score for Syncope

    Estimates 12-month all-cause mortality in patients presenting with syncope.
    Favorite
    When to Use

    Do you use the OESIL Score and want to contribute your expertise? Join our contributor team!

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    Advice

    Do you use the OESIL Score and want to contribute your expertise? Join our contributor team!

    Formula

    Addition of the selected points:

    Item

    Points

    Age >65 years

    +1

    Cardiovascular disease in clinical history*

    +1

    Syncope without prodrome

    +1

    Abnormal EKG**

    +1


    *Cardiovascular disease was defined as any of the following:

    • Previous clinical or laboratory diagnosis of any form of structural heart disease, including ischemic heart disease, valvular dysfunction, and primary myocardial disease.
    • Previous diagnosis or clinical evidence of congestive heart failure.
    • Previous diagnosis or clinical evidence of peripheral arterial disease.
    • Previous diagnosis of stroke or TIA.  

    **Abnormal EKG was defined as any of the following:

    • Rhythm abnormalities (atrial fibrillation or flutter, supraventricular tachycardia, multifocal atrial tachycardia, frequent or repetitive premature supraventricular or ventricular complexes, sustained or non-sustained ventricular tachycardia, paced rhythms).
    • Atrioventricular (AV) or intraventricular conduction disorders (complete AV block, Mobitz I or Mobitz II AV block, bundle branch block, or intraventricular conduction delay).
    • Left or right ventricular hypertrophy.
    • Left axis deviation.
    • Old myocardial infarction.
    • ST segment and T wave abnormalities consistent with or possibly related to myocardial ischemia.

    Non-specific repolarization abnormalities were not considered abnormal.

    Facts & Figures

    Interpretation: 

    OESIL Score

    Mortality

    0 points

    0%

    1 point

    0.8%

    2 points

    19.6%

    3 points

    34.7%

    4 points

    57.1%

    Dr. Furio Colivicchi

    About the Creator

    Furio Colivicchi, MD, is a practicing cardiologist in Rome, Italy. He is Director of Cardiology at San Filippo Neri Hospital. Dr. Colivicchi’s research interests include syncope risk stratification and the use of statins in acute coronary syndrome.

    To view Dr. Furio Colivicchi's publications, visit PubMed