Lost in the Labyrinth: Predicting Central Neurological Causes of Vertigo Dizziness and Unsteadiness in the Emergency Department. A Multicentre Cross-sectional Observational Study

Fondazione IRCCS Policlinico San Matteo di Pavia825 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

825

Conditions

ED With Vertigo Dizziness Unsteadiness

Interventions

Bedside examination of VertigoDIAGNOSTIC_TEST

ED visit comprehensive of bedside examination of vertigo performed by trained EP or emergency medicine residents

Eligibility

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

The AUC of the bedside examination algorithm performed by ED physicians

Time frame: up to 36 months

Secondary Outcomes

identification of predictors of true positive patients

Predictors of true positive patients can help to stratify patients with vertigo for the risk of stroke.

Time frame: up to 36 months

evaluation of number of neuroimaging tests (TC and angio-TC) performed to patients with vertigo in the ED.tests performed

to study the use of ED resources for these patients in terms of number of neuroimaging tests performed.

Time frame: up to 36 months

Lost in the Labyrinth: Predicting Central Neurological Causes of Vertigo Dizziness and Unsteadiness in the Emergency Department. A Multicentre Cross-sectional Observational Study

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts