ROSE 晕厥规则（急诊）
用途适用： adult ED syncope when BNP and basic labs/ECG are available.
分层High-risk ROSE favors further evaluation/admission pathways; negative is lower but not zero risk.
局限不适用： without ECG / vitals. · 易错点： skipping rectal exam when GI bleed is not suspected (score 0). · Complements SF Syncope / Canadian Syncope / Boston.
出处Reed MJ, et al. JACC 2010 (ROSE)
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： adult ED syncope when BNP and basic labs/ECG are available.
需要填写的项目
- B — BNP ≥ 300 pg/mL · 选项
- R — Bradycardia ≤ 50 bpm in ED or prehospital · 选项
- A — Rectal examination shows fecal occult blood (if suspicion of GI bleed) · 选项
- C — Anemia: hemoglobin ≤ 90 g/L (9 g/dL) · 选项
- E — Chest pain associated with syncope · 选项
- E — ECG with Q wave (excluding lead III) · 选项
- S — Oxygen saturation ≤ 94% on room air · 选项
计算方法与公式
Any of: BNP≥300; HR≤50; +FOB; Hb≤90 g/L; chest pain with syncope; Q wave (not III); SpO₂≤94% RA.
Check BRACES checklist; any yes = high risk.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| B — BNP ≥ 300 pg/mL | 否 (0) |
|---|---|
| R — Bradycardia ≤ 50 bpm in ED or prehospital | 否 (0) |
| A — Rectal examination shows fecal occult blood (if suspicion of GI bleed) | No / not indicated (0) |
| C — Anemia: hemoglobin ≤ 90 g/L (9 g/dL) | 否 (0) |
| E — Chest pain associated with syncope | 否 (0) |
| E — ECG with Q wave (excluding lead III) | 否 (0) |
| S — Oxygen saturation ≤ 94% on room air | 否 (0) |
→ROSERule-negative — lower risk band
- 阳性 criteria：0
| B — BNP ≥ 300 pg/mL | 是 |
|---|---|
| R — Bradycardia ≤ 50 bpm in ED or prehospital | 是 |
| A — Rectal examination shows fecal occult blood (if suspicion of GI bleed) | Yes — positive FOB |
| C — Anemia: hemoglobin ≤ 90 g/L (9 g/dL) | 是 |
| E — Chest pain associated with syncope | 是 |
| E — ECG with Q wave (excluding lead III) | 是 |
| S — Oxygen saturation ≤ 94% on room air | 是 |
→ROSEHigh risk — any BRACES positive
- 阳性 criteria：7
- Mnemonic：BRACES
结果判读与分层
High-risk ROSE favors further evaluation/admission pathways; negative is lower but not zero risk.
指南要点（原创整理）
- BRACES mnemonic.
- Any positive = high risk.
- 下一步： SF syncope / Canadian CSR / EGSYS.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： without ECG / vitals.
- 易错点： skipping rectal exam when GI bleed is not suspected (score 0).
- Complements SF Syncope / Canadian Syncope / Boston.
核对与出处 · 可验证治理
参考指南与出处
- Reed MJ, et al. JACC 2010 (ROSE) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- ROSE 晕厥规则（急诊）的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- ROSE 晕厥规则（急诊）怎么代入计算？能举个例子吗？
- 代入: B — BNP ≥ 300 pg/mL 否 (0)、R — Bradycardia ≤ 50 bpm in ED or prehospital 否 (0)、A — Rectal examination shows fecal occult blood (if suspicion of GI bleed) No / not indicated (0)、C — Anemia: hemoglobin ≤ 90 g/L (9 g/dL) 否 (0)、E — Chest pain associated with syncope 否 (0)、E — ECG with Q wave (excluding lead III) 否 (0)、S — Oxygen saturation ≤ 94% on room air 否 (0) → 结果: ROSE Rule-negative — lower risk band（阳性 criteria: 0） 代入: B — BNP ≥ 300 pg/mL 是、R — Bradycardia ≤ 50 bpm in ED or prehospital 是、A — Rectal examination shows fecal occult blood (if suspicion of GI bleed) Yes — positive FOB、C — Anemia: hemoglobin ≤ 90 g/L (9 g/dL) 是、E — Chest pain associated with syncope 是、E — ECG with Q wave (excluding lead III) 是、S — Oxygen saturation ≤ 94% on room air 是 → 结果: ROSE High risk — any BRACES positive（阳性 criteria: 7、Mnemonic: BRACES）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →