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EMVERT - Is it stroke? Development and evaluation of a clinical diagnostic index test to identify stroke as cause of vertigo, dizziness, and imbalance in the emergency room

EMVERT - Is it stroke? Development and evaluation of a clinical diagnostic index test to identify stroke as cause of vertigo, dizziness, and imbalance in the emergency room - EMVERT (Emergency Vertigo and Balance Disorders)

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00008992
Enrollment
1000
Registered
2015-08-06
Start date
2015-08-17
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

R42 H81 H81.4 H81.3 R26 H53 H55 R11

Interventions

Group 1: Experimental intervention / index test: Specialized clinical and apparative neurophysiological testing as a basis for future diagnostic index test (e.g. videooculography, video head impulse

Sponsors

Klinikum der Universität München, Campus Großhadern
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients with acute onset of vertigo, dizziness, double vision, gait or balance problems within the last 24 hours (symptoms lasting at least 10 min)

Exclusion criteria

Exclusion criteria: Age under 18 years, proven cental or peripheral aetiology

Design outcomes

Primary

MeasureTime frame
The primary endpoint (stroke or no stroke) will be determined on the basis of the reference test (MRI, clinical observation). A first outcome measure is the a-priori probability of stroke. The main goal is to develop a diagnostic index test for stroke in patients with acute vertigo, dizziness, and imbalance. Clinical and neurophysiological test results (e.g. ocular motor signs on video-oculography, video head impulse testing, posturography, SVV, TuG, clinical scores) will be combined to a diagnostic score for the risk of stroke (predictor).

Secondary

MeasureTime frame
The second outcome measure will be sensitivity and specificity, the pair of diagnostic quality of the index test. The index test will be determined based on the Receiver Operating Characteristic curve (ROC) according to the diagnostic score with specific cut-off values for sensitivity and specificity in order to develop a stroke detection test with high sensitivity and acceptable specificity.

Countries

Germany

Contacts

Public ContactKen Möhwald

Klinikum der Universität München, Campus Großhadern, Deutsches Schwindel- und Gleichgewichtszentrum (DSGZ)

ken.moehwald@med.uni-muenchen.de+49(0)89/4400-76951

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 26, 2026