Dizziness, ED With Vertigo, Unsteadiness
Conditions
Brief summary
This study will assess the sensitivity and specificity of the bedside examination algorithm performed by ED physicians. Finally, it aims to identify predictors of a central cause of the symptoms. This will consequently reduce the rate of misdiagnosis as well as the costs and length of stay due to inappropriate neuroimaging.
Interventions
DIAGNOSTIC_TESTBedside examination of Vertigo
ED visit comprehensive of bedside examination of vertigo performed by trained EP or emergency medicine residents
Sponsors
Fondazione IRCCS Policlinico San Matteo di Pavia
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients presenting at the ED with vertigo, dizziness or unsteadiness * \>= 18 years of age * Patients able to give their consent
Exclusion criteria
* Patients with dementia * Bedridden patients (for causes other than the current symptoms) * Patients with obvious neurological findings presenting with vertigo but with suspected stroke at triage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The AUC of the bedside examination algorithm performed by ED physicians | up to 36 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| identification of predictors of true positive patients | up to 36 months | Predictors of true positive patients can help to stratify patients with vertigo for the risk of stroke. |
| evaluation of number of neuroimaging tests (TC and angio-TC) performed to patients with vertigo in the ED.tests performed | up to 36 months | to study the use of ED resources for these patients in terms of number of neuroimaging tests performed. |
Countries
Italy
Contacts
Primary ContactMarco Bonzano, MD
Outcome results
None listed