Diplopia, Dizziness, Emergency Department, MRI, Stroke
Conditions
Brief summary
IRM-DU is a prospective observational single center study conducted in an emergency department to evaluate the impact of a MRI scanner exclusively dedicated to emergency in the clinical management of patients presenting with dizziness or diplopia. The study will compare 2 strategies : after and before availability of a MRI scanner dedicated to emergency. The primary endpoint is the proportion of patients with a diagnosis of stroke confirmed by imaging (MRI or Computed tomography (CT)) in the group before implementation of the emergency MRI scanner and the group after implementation of the emergency MRI scanner. The hypothesis is that the availability of a MRI scanner dedicated to emergency will improve the diagnosis of stroke in patients presenting with dizziness or diplopia, and will reduce Emergency Department stay, hospital stay and hospitalisation costs.
Interventions
None listed
Sponsors
University Hospital, Strasbourg, France
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age over 18 years * non opponent to participate * dizziness or diplopia requiring brain imaging in order to eliminate stroke
Exclusion criteria
* opponent to participate * pregnant women * recent cerebral trauma * potentially eligible to thrombolysis * impaired consciousness * unable to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis is established on the positive signs of stroke highlighted on the CT scan or brain MRI according to the examination performed | 18 months | Proportion of patients with a diagnosis of stroke confirmed by cerebral radiology (MRI or scan according to examination) in the pre- and post-MRI groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of CT and brain MRI requested by the emergency physician in the before / after groups | 18 months | Number of CT and brain MRI requested by the emergency physician in the before / after groups |
| Evaluate the usual management of vertigo and diplopia | 18 months | Evaluate the usual management of vertigo and diplopia: number of CT and brain MRI requested by the emergency physician in the before / after groups; number of cerebral CT and MRI performed by the radiologist in the before / after groups |
| Evaluate the time of care | 18 months | Evaluate the time of care: time of realization of the examination of radiology (scanner or brain MRI), delay of passage in emergencies |
| Rate of new emergency department visits for neurological | the month following initial emergency care | Rate of new emergency department visits for neurological reasons in the month following initial emergency care |
| Evaluate the irradiation rate | 18 months | Evaluate the irradiation rate related to the initial radiological examination performed during emergency care |
| Evaluate the rate of new consultations in emergencies | 18 months | Evaluate the rate of new consultations in emergencies for a neurological reason in the month following the initial care in emergencies, and the rate of new hospitalizations for the same reason |
Countries
France
Outcome results
None listed