Standardized reporting guidelines for emergency department syncope risk-stratification research

Consortium to Standardize ED Syncope Risk Stratification Reporting, Benjamin C Sun, Venkatesh Thiruganasambandamoorthy, Jeffrey Dela Cruz

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

There is increasing research interest in the risk stratification of emergency department (ED) syncope patients. A major barrier to comparing and synthesizing existing research is wide variation in the conduct and reporting of studies. The authors wanted to create standardized reporting guidelines for ED syncope risk-stratification research using an expert consensus process. In that pursuit, a panel of syncope researchers was convened and a literature review was performed to identify candidate reporting guideline elements. Candidate elements were grouped into four sections: eligibility criteria, outcomes, electrocardiogram (ECG) findings, and predictors. A two-round, modified Delphi consensus process was conducted using an Internet-based survey application. In the first round, candidate elements were rated on a five-point Likert scale. In the second round, panelists rerated items after receiving information about group ratings from the first round. Items that were rated by >80% of the panelists at the two highest levels of the Likert scale were included in the final guidelines. There were 24 panelists from eight countries who represented five clinical specialties. The panel identified an initial set of 183 candidate elements. After two survey rounds, the final reporting guidelines included 92 items that achieved >80% consensus. These included 10 items for study eligibility, 23 items for outcomes, nine items for ECG abnormalities, and 50 items for candidate predictors. Adherence to these guidelines should facilitate comparison of future research in this area.

Original languageEnglish
Pages (from-to)694-702
Number of pages9
JournalAcademic Emergency Medicine: A Global Journal of Emergency Care (AEM)
Volume19
Issue number6
DOIs
Publication statusPublished - Jun 2012
Externally publishedYes

Keywords / Materials (for Non-textual outputs)

  • Biomedical Research
  • Delphi Technique
  • Emergency Service, Hospital
  • Humans
  • Research Design
  • Risk Assessment
  • Syncope
  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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