title: Priorities for emergency department syncope research.
abstract: OBJECTIVE
  There is limited evidence to guide the emergency department (ED) evaluation and management of syncope. The First International Workshop on Syncope Risk Stratification in the Emergency Department identified key research questions and methodological standards essential to advancing the science of ED-based syncope research.
  
  
  METHODS
  We recruited a multinational panel of syncope experts. A preconference survey identified research priorities, which were refined during and after the conference through an iterative review process.
  
  
  RESULTS
  There were 31 participants from 7 countries who represented 10 clinical and methodological specialties. High-priority research recommendations were organized around a conceptual model of ED decisionmaking for syncope, and they address definition, cohort selection, risk stratification, and management.
  
  
  CONCLUSIONS
  We convened a multispecialty group of syncope experts to identify the most pressing knowledge gaps and defined a high-priority research agenda to improve the care of patients with syncope in the ED.
authors.affiliation: Department of Emergency Medicine, Oregon Health and Science University, Portland, OR. Electronic address: sunb@ohsu.edu.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Sun
authors.affiliation: Division of Medicine and Pathophysiology, Università degli Studi di Milano, Milan, Italy; Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Costantino
authors.affiliation: BIOMETRA Department-Humanitas Clinical and Research Center, Rozzano (MI), Università degli Studi di Milano, Milan, Italy.
authors.forename: Franca
authors.initials: F
authors.lastname: Barbic
authors.affiliation: Emergency Medicine Department, S. Anna Hospital, Como, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Bossi
authors.affiliation: Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Casazza
authors.affiliation: BIOMETRA Department-Humanitas Clinical and Research Center, Rozzano (MI), Università degli Studi di Milano, Milan, Italy.
authors.forename: Franca
authors.initials: F
authors.lastname: Dipaola
authors.affiliation: School of Medicine, University of California-San Francisco, San Francisco, CA.
authors.forename: Daniel
authors.initials: D
authors.lastname: McDermott
authors.affiliation: Division of Emergency Medicine, Stanford University, Stanford, CA.
authors.forename: James
authors.initials: J
authors.lastname: Quinn
authors.affiliation: Emergency Medicine Research Group Edinburgh, Royal Infirmary of Edinburgh, United Kingdom.
authors.forename: Matthew
authors.initials: M
authors.lastname: Reed
authors.affiliation: Department of Cardiac Sciences, University of Calgary, Calgary, Canada.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Sheldon
authors.affiliation: Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
authors.forename: Monica
authors.initials: M
authors.lastname: Solbiati
authors.affiliation: Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
authors.forename: Venkatesh
authors.initials: V
authors.lastname: Thiruganasambandamoorthy
authors.affiliation: Division of Cardiology, University of British Columbia, Vancouver, Canada.
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Krahn
authors.affiliation: STARS, United Kingdom.
authors.forename: Daniel
authors.initials: D
authors.lastname: Beach
authors.affiliation: Max Planck Institute for Human Development, Berlin, Germany.
authors.forename: Nicolai
authors.initials: N
authors.lastname: Bodemer
authors.affiliation: Division of Cardiology, Ospedali del Tigullio, Lavagna, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Brignole
authors.affiliation: Department of Emergency Medicine, Alessandria, Italy.
authors.forename: Ivo
authors.initials: I
authors.lastname: Casagranda
authors.affiliation: Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Duca
authors.affiliation: CNR, Torino, Italy.
authors.forename: Greta
authors.initials: G
authors.lastname: Falavigna
authors.affiliation: Ospedale di Alessandria, Alessandria, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Ippoliti
authors.affiliation: Division of Medicine and Pathophysiology, Università degli Studi di Milano, Milan, Italy; Department of Biomedical and Clinical Sciences "L. Sacco", Università degli Studi di Milano, Milan, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Montano
authors.affiliation: Division of Cardiology, University of Iowa Medical Center, Iowa City, IA.
authors.forename: Brian
authors.initials: B
authors.lastname: Olshansky
authors.affiliation: Departments of Medicine and Pharmacology, Vanderbilt University, Nashville, TN.
authors.forename: Satish R
authors.initials: SR
authors.lastname: Raj
authors.affiliation: Division of Cardiology, Gentofte Hospital, Copenhagen, Denmark.
authors.forename: Martin H
authors.initials: MH
authors.lastname: Ruwald
authors.affiliation: Division of Cardiology, Mayo Clinic, Phoenix, AZ.
authors.forename: Win-Kuang
authors.initials: WK
authors.lastname: Shen
authors.affiliation: Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
authors.forename: Ian
authors.initials: I
authors.lastname: Stiell
authors.affiliation: Division of Geriatrics, Ospedale Careggi, Firenze, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Ungar
authors.affiliation: Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands.
authors.forename: J Gert
authors.initials: JG
authors.lastname: van Dijk
authors.affiliation: Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands.
authors.forename: Nynke
authors.initials: N
authors.lastname: van Dijk
authors.affiliation: Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: Wieling
authors.affiliation: BIOMETRA Department-Humanitas Clinical and Research Center, Rozzano (MI), Università degli Studi di Milano, Milan, Italy.
authors.forename: Raffaello
authors.initials: R
authors.lastname: Furlan
mesh_terms: D035843:Biomedical Research; D004632:Emergency Medical Services; D006801:Humans; D013575:Syncope / Q000150:complications / Q000175:diagnosis / Q000628:therapy*