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Recruiting NCT07287891

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

— Observational ED With Vertigo Dizziness Unsteadiness

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Bedside examination of Vertigo.
Who it may be relevant to
Registry conditions: ED With Vertigo, Dizziness, Unsteadiness. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Italy
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

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.

Interventions

  • Diagnostic test Bedside examination of Vertigo
    ED visit comprehensive of bedside examination of vertigo performed by trained EP or emergency medicine residents

Primary outcome measures

  • The AUC of the bedside examination algorithm performed by ED physicians [Time frame: up to 36 months]
Secondary outcome measures (2)
  • identification of predictors of true positive patients [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 [Time frame: up to 36 months]

Eligibility criteria

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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Case-only

Study locations

Italy · 1 center
  • SC Pronto Soccorso e Medicina d'Urgenza, Fondazione IRCCS Policlinico San Matteo — Pavia

Identifiers

NCT: NCT07287891 · VERTIGO

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗