💓 OESIL Syncope Risk Score
UseWhen to use: adult ED syncope disposition adjunct.
Strata0–1 lower band; ≥2 higher mortality band in derivation (older cohorts may use ≥3).
LimitsWhen not to use: as the only disposition rule. · Pitfall: ignoring Canadian/San Francisco tools used locally. · Abnormal ECG definitions should follow institutional lists.
SourceColivicchi F et al. Eur Heart J 2003 (OESIL)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Four binary items.
When to use
When to use: adult ED syncope disposition adjunct.
How it works
1 point each: age>65, CV history, no prodrome, abnormal ECG (0–4).
Key points
- Four binary items.
- ≥2 higher band.
- Next: CSRS / SFSR / EGSYS.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age > 65 years | No (0) |
|---|---|
| Cardiovascular disease in history | No (0) |
| Syncope without prodrome | No (0) |
| Abnormal ECG | No (0) |
→OESIL0/4
- Cue：Lower 12-month mortality band in derivation — outpatient pathway often considered if otherwise benign
- Derivation cue：Mortality rose steeply from score ≥2 in original cohorts
| Age > 65 years | Yes (1) |
|---|---|
| Cardiovascular disease in history | Yes (1) |
| Syncope without prodrome | Yes (1) |
| Abnormal ECG | Yes (1) |
→OESIL4/4
- Cue：Higher-risk band — consider admission / telemetry / cardiology per local SOP
- Derivation cue：Mortality rose steeply from score ≥2 in original cohorts
Verification & sources · governance
FAQ
Frequently asked questions
- Does OESIL Syncope Risk Score upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is OESIL Syncope Risk Score calculated in practice? Can you show a worked example?
- Inputs: Age > 65 years No (0), Cardiovascular disease in history No (0), Syncope without prodrome No (0), Abnormal ECG No (0) → Result: OESIL 0 /4（Cue: Lower 12-month mortality band in derivation — outpatient pathway often considered if otherwise benign, Derivation cue: Mortality rose steeply from score ≥2 in original cohorts） Inputs: Age > 65 years Yes (1), Cardiovascular disease in history Yes (1), Syncope without prodrome Yes (1), Abnormal ECG Yes (1) → Result: OESIL 4 /4（Cue: Higher-risk band — consider admission / telemetry / cardiology per local SOP, Derivation cue: Mortality rose steeply from score ≥2 in original cohorts）