{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:42:08Z","timestamp":1786992128806,"version":"build-2736575974"},"reference-count":82,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T00:00:00Z","timestamp":1491004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T00:00:00Z","timestamp":1491004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2017,4]]},"DOI":"10.1016\/j.jemermed.2016.12.003","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T23:31:29Z","timestamp":1485387089000},"page":"438-448.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Geriatric Syncope and Cardiovascular Risk in the Emergency Department"],"prefix":"10.1016","volume":"52","author":[{"given":"Nissa J.","family":"Ali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamai A.","family":"Grossman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2016.12.003_bib1","doi-asserted-by":"crossref","first-page":"92","DOI":"10.7326\/0003-4819-99-1-92","article-title":"Syncope in the elderly","volume":"99","author":"Lipsitz","year":"1983","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/0002-9343(86)90716-3","article-title":"Syncope in the elderly","volume":"80","author":"Kapoor","year":"1998","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib3","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/0021-9681(86)90187-6","article-title":"Syncope in institutionalized elderly: the impact of multiple pathological conditions and situational stress","volume":"39","author":"Lipsitz","year":"1986","journal-title":"J Chronic Dis"},{"key":"10.1016\/j.jemermed.2016.12.003_bib4","first-page":"2553","article-title":"Evaluation and management of the patient with syncope","volume":"268","author":"Kapoor","year":"1992","journal-title":"J Am Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib5","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1111\/j.1532-5415.1987.tb06364.x","article-title":"Evaluation of syncope in the elderly","volume":"35","author":"Kapoor","year":"1987","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.jemermed.2016.12.003_bib6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/0002-9343(91)90511-U","article-title":"Diagnostic evaluation of syncope","volume":"90","author":"Kapoor","year":"1991","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib7","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00005792-199005000-00004","article-title":"Evaluation and outcome of patients with syncope","volume":"69","author":"Kapoor","year":"1990","journal-title":"Medicine"},{"issue":"suppl 9","key":"10.1016\/j.jemermed.2016.12.003_bib8","first-page":"S74","article-title":"Syncope in the elderly: diagnosis, evaluation, and treatment","volume":"14","author":"Kenny","year":"2003","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.jemermed.2016.12.003_bib9","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1136\/heartjnl-2016-309274","article-title":"Dysrhythmia and occult syncope as an explanation for falls in older patients","volume":"102","author":"Grossman","year":"2016","journal-title":"Heart"},{"key":"10.1016\/j.jemermed.2016.12.003_bib10","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1056\/NEJM198307283090401","article-title":"A prospective evaluation and follow-up of patients with syncope","volume":"309","author":"Kapoor","year":"1983","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib11","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.amjcard.2004.11.013","article-title":"Direct medical costs of syncope-related hospitalizations in the United States","volume":"1","author":"Sun","year":"2005","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jemermed.2016.12.003_bib12","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.cger.2007.01.003","article-title":"Syncope in the elderly","volume":"23","author":"Hood","year":"2007","journal-title":"Clin Geriatr Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib13","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1046\/j.1525-1497.1999.03199.x","article-title":"Epidemiology of syncope in hospitalized patients","volume":"14","author":"Getchell","year":"1999","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib14","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/S0002-9343(95)00052-6","article-title":"Is syncope a risk factor for poor outcomes? Comparison of patients with and without syncope","volume":"100","author":"Kapoor","year":"1996","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib15","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1056\/NEJMoa012407","article-title":"Incidence and prognosis of syncope","volume":"327","author":"Soteriades","year":"2002","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib16","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.annemergmed.2014.04.014","article-title":"Priorities for emergency department syncope research","volume":"64","author":"Sun","year":"2014","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib17","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jacc.2007.08.059","article-title":"Short and long term prognosis of syncope, risk factors, and role of hospital admission. results from the STePS (Short-Term Prognosis of Syncope) study","volume":"51","author":"Costantino","year":"2008","journal-title":"JACC"},{"key":"10.1016\/j.jemermed.2016.12.003_bib18","doi-asserted-by":"crossref","first-page":"169","DOI":"10.5507\/bp.2010.026","article-title":"The EGSYS and OESIL Risk Scores for Classification of cardiac etiology of syncope: comparison, revaluation, and clinical implications","volume":"154","author":"Plasek","year":"2010","journal-title":"Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub"},{"key":"10.1016\/j.jemermed.2016.12.003_bib19","doi-asserted-by":"crossref","first-page":"515370","DOI":"10.1155\/2015\/515370","article-title":"Validation of EGSYS score in prediction of cardiogenic syncope","volume":"2015","author":"Kariman","year":"2015","journal-title":"Emerg Med Int"},{"key":"10.1016\/j.jemermed.2016.12.003_bib20","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.jemermed.2007.04.001","article-title":"Predicting adverse outcomes in syncope","volume":"33","author":"Grossman","year":"2007","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib21","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1197\/aemj.9.5.358","article-title":"The San Francisco Syncope Rule to predict patients with serious outcomes","volume":"9","author":"Quinn","year":"2002","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib22","first-page":"606","article-title":"Is hospital admission valuable in managing syncope? Results from the STePS study","volume":"21","author":"Costantino","year":"2014","journal-title":"Card J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib23","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1093\/eurheartj\/ehv378","article-title":"Syncope clinical management in the emergency department: a consensus from the first international workshop on syncope risk stratification in the emergency department","volume":"37","author":"Costantino","year":"2016","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib24","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1093\/ageing\/25.5.362","article-title":"Falls presenting to the accident and emergency department: types of presentation and risk factor profile","volume":"25","author":"Davies","year":"1996","journal-title":"Age Ageing"},{"key":"10.1016\/j.jemermed.2016.12.003_bib25","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1136\/heartjnl-2015-308706","article-title":"Long term cardiac monitoring in older adults with unexplained falls and syncope","volume":"102","author":"Bhangu","year":"2016","journal-title":"Heart"},{"key":"10.1016\/j.jemermed.2016.12.003_bib26","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.ajem.2010.11.001","article-title":"Do outcomes of near syncope parallel syncope?","volume":"30","author":"Grossman","year":"2012","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib27","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.1161\/01.CIR.102.23.2898","article-title":"The elusive pathophysiology of neurally mediated syncope","volume":"102","author":"Mosqueda-Garcia","year":"2000","journal-title":"Circulation"},{"key":"10.1016\/j.jemermed.2016.12.003_bib28","doi-asserted-by":"crossref","first-page":"989","DOI":"10.7326\/0003-4819-126-12-199706150-00012","article-title":"Diagnosing syncope. Part 1: value of history, physical examination, and electrocardiography. Clinical Efficacy Assessment Project of the American College of Physicians","volume":"126","author":"Linzer","year":"1997","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib29","first-page":"2631","article-title":"Guidelines for the diagnosis and management of syncope","volume":"30","year":"2009","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib30","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/0002-9343(61)90051-1","article-title":"Syncope. Physiological considerations and an analysis of the clinical characteristics in 510 patients","volume":"30","author":"Wayne","year":"1961","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib31","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1365-2796.1990.tb00145.x","article-title":"Self-terminating idiopathic ventricular fibrillation presenting as syncope: a 40-year follow-up report","volume":"227","author":"Kontny","year":"1990","journal-title":"J Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib32","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/0735-1097(90)90222-B","article-title":"Syncope in hypertrophic cardiomyopathy: multivariate analysis of prognostic determinants","volume":"15","author":"Nienaber","year":"1990","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jemermed.2016.12.003_bib33","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1253\/circj.69.981","article-title":"Differences in clinical presentation of pulmonary embolism in older vs younger patients","volume":"69","author":"Kokturk","year":"2005","journal-title":"Circ J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib34","doi-asserted-by":"crossref","first-page":"1546.e1","DOI":"10.1016\/j.ajem.2015.07.024","article-title":"Diffuse triple-vessel coronary spasm as a cause of asystole and syncope","volume":"33","author":"Quiang","year":"2015","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib35","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1253\/circj.CJ-10-0183","article-title":"Painless acute aortic dissection","volume":"75","author":"Imamura","year":"2011","journal-title":"Circ J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib36","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/110241598750004922","article-title":"Ruptured abdominal aortic aneurysm: initial misdiagnosis and the effect on treatment","volume":"164","author":"Akkersdijk","year":"1998","journal-title":"Eur J Surg"},{"key":"10.1016\/j.jemermed.2016.12.003_bib37","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1001\/archinte.1990.00390220061012","article-title":"Syncope and presyncope associated with probable adverse drug reactions","volume":"150","author":"Hanlon","year":"1990","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib38","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2165\/00002018-199717020-00003","article-title":"Drug-induced orthostatic hypotension in the elderly: avoiding its onset","volume":"17","author":"Verhaeverbeke","year":"1997","journal-title":"Drug Saf"},{"key":"10.1016\/j.jemermed.2016.12.003_bib39","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1056\/NEJMoa1511939","article-title":"A randomized trial of intensive versus standard blood-pressure control","volume":"373","author":"SPRINT Research Group","year":"2015","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib40","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/S0196-0644(84)80511-9","article-title":"Prospective evaluation of syncope","volume":"13","author":"Martin","year":"1984","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib41","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/S0002-9343(99)80315-5","article-title":"The value of the clinical history in the differentiation of syncope due to ventricular tachycardia, atrioventricular block, and neurocardiogenic syncope","volume":"98","author":"Calkins","year":"1995","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib42","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/0002-9343(82)90913-5","article-title":"Evaluation and outcome of emergency room patients with transient loss of consciousness","volume":"73","author":"Day","year":"1982","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib43","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1093\/ageing\/afq039","article-title":"Vasovagal syncope in the older person: differences in presentation between older and younger patients","volume":"39","author":"Duncan","year":"2010","journal-title":"Age Ageing"},{"key":"10.1016\/j.jemermed.2016.12.003_bib44","series-title":"Heart Disease: A Textbook of Cardiovascular Medicine","first-page":"868","year":"1997"},{"key":"10.1016\/j.jemermed.2016.12.003_bib45","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1093\/europace\/eur069","article-title":"Amnesia for loss of consciousness is common in vasovagal syncope","volume":"13","author":"O\u2019Dwyer","year":"2011","journal-title":"Eurospace"},{"key":"10.1016\/j.jemermed.2016.12.003_bib46","first-page":"1","article-title":"Carotid sinus syndrome: progress in understanding and management","volume":"2014","author":"Sutton","year":"2014","journal-title":"Glob Cardiol Sci Pract"},{"key":"10.1016\/j.jemermed.2016.12.003_bib47","first-page":"1070","article-title":"ESC guidelines on cardiac pacing and cardiac resynchronization therapy","volume":"15","year":"2013","journal-title":"Eurospace"},{"key":"10.1016\/j.jemermed.2016.12.003_bib48","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1093\/europace\/eut283","article-title":"Clinical context and outcome of carotid sinus syndrome diagnosed by means of the \u201cmethod of symptoms\u201d","volume":"16","author":"Solari","year":"2014","journal-title":"Europace"},{"key":"10.1016\/j.jemermed.2016.12.003_bib49","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1016\/j.clinph.2015.12.017","article-title":"Orthostatic hypertension: an underestimated cause of orthostatic intolerance","volume":"127","author":"Lee","year":"2016","journal-title":"Clin Neurophysiol"},{"key":"10.1016\/j.jemermed.2016.12.003_bib50","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1093\/eurheartj\/ehp329","article-title":"Orthostatic hypotension predicts all-cause mortality and coronary events in middle-aged individuals (The Malmo Preventive Project)","volume":"31","author":"Fedorowski","year":"2010","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib51","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1056\/NEJMcp074189","article-title":"Neurogenic orthostatic hypotension","volume":"358","author":"Freeman","year":"2008","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib52","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.1161\/CIRCULATIONAHA.114.009831","article-title":"Age-related normative changes in phasic orthostatic blood pressure in a large population study. findings from the Irish Longitudinal Study on Ageing (TILDA)","volume":"130","author":"Finucane","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.jemermed.2016.12.003_bib53","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1161\/CIRCULATIONAHA.105.598722","article-title":"Orthostatic hypotension predicts mortality in middle-aged adults. The Atherosclerosis Risk in Communities (ARIC) Study","volume":"114","author":"Rose","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.jemermed.2016.12.003_bib54","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0002-9343(91)90012-M","article-title":"Syncope and orthostatic hypotension","volume":"91","author":"Atkins","year":"1990","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib55","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/MBP.0b013e3280b083bd","article-title":"Measuring orthostatic hypotension with the Finometer device: is a blood pressure drop of one heartbeat clinically relevant?","volume":"12","author":"Van der Velde","year":"2007","journal-title":"Blood Press Monit"},{"key":"10.1016\/j.jemermed.2016.12.003_bib56","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1161\/01.HYP.0000250939.71343.7c","article-title":"Abnormalities of vascular and cardiac autonomic control in Parkinson\u2019s disease without orthostatic hypotension","volume":"49","author":"Barbic","year":"2007","journal-title":"Hypertension"},{"key":"10.1016\/j.jemermed.2016.12.003_bib57","doi-asserted-by":"crossref","first-page":"e0146156","DOI":"10.1371\/journal.pone.0146156","article-title":"Single agent antihypertensive therapy and orthostatic blood pressure behaviour in older adults using beat-t-beat measurements: the Irish Longitudinal Study on Ageing","volume":"11","author":"Canney","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.jemermed.2016.12.003_bib58","doi-asserted-by":"crossref","first-page":"76","DOI":"10.7326\/0003-4819-127-1-199707010-00014","article-title":"Diagnosing syncope. Part 2: unexplained syncope: clinical efficacy assessment project of the American College of Physicians","volume":"127","author":"Linzer","year":"1997","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib59","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/S0002-9343(99)00425-8","article-title":"The association between orthostatic hypotension and recur- rent falls in nursing home residents","volume":"108","author":"Ooi","year":"2000","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib60","doi-asserted-by":"crossref","first-page":"2346","DOI":"10.1001\/archinte.1995.00430210096015","article-title":"Value of tongue biting in the diagnosis of seizures","volume":"155","author":"Benbadis","year":"1995","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib61","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/BF02936540","article-title":"Testing in syncope","volume":"1","author":"Grossman","year":"2006","journal-title":"Intern Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib62","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1093\/gerona\/58.11.M1055","article-title":"The value of cardiac enzymes in elderly patients presenting to the emergency department with syncope","volume":"58","author":"Grossman","year":"2003","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.jemermed.2016.12.003_bib63","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1001\/archinternmed.2009.204","article-title":"Yield of diagnostic tests in evaluating syncopal episodes in older patients","volume":"169","author":"Mendu","year":"2009","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib64","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jemermed.2014.01.018","article-title":"Are echocardiography, telemetry, ambulatory electrocardiography monitoring and cardiac enzymes in emergency department patients presenting with syncope useful tests? A preliminary investigation","volume":"47","author":"Chiu","year":"2014","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib65","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.autneu.2014.05.011","article-title":"The role of autonic testing in syncope","volume":"184","author":"Jones","year":"2014","journal-title":"Auto Neurosci"},{"key":"10.1016\/j.jemermed.2016.12.003_bib66","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1007\/BF02936543","article-title":"The utility of head computed tomography in the emergency department evaluation of syncope","volume":"1","author":"Goyal","year":"2006","journal-title":"Intern Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib67","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/s11739-007-0010-5","article-title":"The yield of head CT in syncope: a pilot study","volume":"2","author":"Grossman","year":"2007","journal-title":"Intern Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib68","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.archger.2013.07.010","article-title":"Can elderly patients without risk factors be discharged home when presenting to the emergency department with syncope?","volume":"58","author":"Grossman","year":"2014","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.jemermed.2016.12.003_bib69","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0196-0644(97)70217-8","article-title":"Risk stratification of patients with syncope","volume":"29","author":"Martin","year":"1997","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib70","doi-asserted-by":"crossref","first-page":"S127","DOI":"10.1197\/j.aem.2005.03.357","article-title":"External validation of the San Francisco Syncope Rule","volume":"12","author":"Fischer","year":"2005","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib71","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.annemergmed.2006.11.012","article-title":"External validation of the San Francisco Syncope Rule","volume":"49","author":"Sun","year":"2007","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib72","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/j.ajem.2007.10.042","article-title":"Failure to validate the San Francisco Syncope Rule in elderly ED patients","volume":"26","author":"Birnbaum","year":"2008","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib73","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/j.ajem.2007.10.042","article-title":"Application of San Francisco Syncope Rule in elderly ED patients","volume":"26","author":"Schladenhaufen","year":"2008","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib74","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.jemermed.2011.01.021","article-title":"Reducing admissions utilizing the Boston Syncope Criteria","volume":"42","author":"Grossman","year":"2012","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib75","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.jemermed.2009.09.010","article-title":"Can benign etiologies predict benign outcomes in high-risk syncope patients?","volume":"40","author":"Grossman","year":"2011","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib76","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.jemermed.2012.01.043","article-title":"Applying the Boston Syncope Criteria to near syncope","volume":"43","author":"Grossman","year":"2012","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib77","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1111\/j.1076-7460.2007.05825.x","article-title":"Outcomes of unexplained syncope in the elderly","volume":"16","author":"Roussanov","year":"2007","journal-title":"Am J Geriatr Cardiol"},{"key":"10.1016\/j.jemermed.2016.12.003_bib78","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1093\/eurheartj\/ehq017","article-title":"Early and late outcome of treated patients referred for syncope to emergency department: the EGSYS 2 follow-up study","volume":"31","author":"Ungar","year":"2010","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jemermed.2016.12.003_bib79","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1093\/europace\/euv115","article-title":"Syncope unit: rationale and requirement\u2014the European Heart Rhythm Association position statement endorsed by the Heart Rhythm Society","volume":"17","author":"Kenny","year":"2015","journal-title":"Eurospace"},{"key":"10.1016\/j.jemermed.2016.12.003_bib80","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1001\/jamainternmed.2015.8606","article-title":"Syncope and motor vehicle crash risk: a Danish nationwide study","volume":"176","author":"Nume","year":"2016","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jemermed.2016.12.003_bib81","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.autneu.2014.05.006","article-title":"Driving and working with syncope","volume":"184","author":"Barbic","year":"2014","journal-title":"Auto Neurosci"},{"key":"10.1016\/j.jemermed.2016.12.003_bib82","first-page":"19","article-title":"Assessing and managing syncope in older subjects","volume":"21","author":"Grossman","year":"2009","journal-title":"J Gene Med"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467916311180?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467916311180?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:37:19Z","timestamp":1760027839000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0736467916311180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4]]},"references-count":82,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["S0736467916311180"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2016.12.003","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Geriatric Syncope and Cardiovascular Risk in the Emergency Department","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2016.12.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}