RecruitingNCT07287891

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


Sponsor

Fondazione IRCCS Policlinico San Matteo di Pavia

Enrollment

825 participants

Start Date

Jan 26, 2024

Study Type

OBSERVATIONAL

Conditions

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.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Patients presenting at the ED with vertigo, dizziness or unsteadiness
  • \>= 18 years of age
  • Patients able to give their consent

Exclusion Criteria3

  • 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

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Interventions

DIAGNOSTIC_TESTBedside examination of Vertigo

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


Locations(1)

SC Pronto Soccorso e Medicina d'Urgenza, Fondazione IRCCS Policlinico San Matteo

Pavia, Pavia, Italy

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NCT07287891


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