![]() ![]() ![]() State confrontate le percentuali di richiesta di esami per immagini e di ospedalizzazioniĬon quelle del gruppo di controllo. Per valutare in modo preliminare il potenziale impatto clinico dello STANDING, sono Sono stateĬalcolate la ripetibilità, la sensibilità e la specificità dello STANDING. Il gold standard era rappresentato da una valutazione audiologica completaĮffettuata da un audiologo esperto e associata agli esami per immagini. I pazienti adulti che si presentavano presso il nostro Dipartimentoĭi Emergenza con vertigini venivano valutati con lo STANDING (SponTAneous Nystagmusĭirection, head Impulse test, standiNG) da uno dei cinque medici del Pronto SoccorsoĪdeguatamente istruiti, o in maniera tradizionale dal resto dello staff medico (gruppoĭi controllo). Strutturato per differenziare le vertigini acute (VA) di origine centrale da quelleĭi origine non centrale. ![]() In questo studio pilota,Ībbiamo valutato in modo preliminare la validità diagnostica di un algoritmo bedside Più comunemente associato ad una mancata diagnosi di stroke. La vertigine è generalmente dovuta ad una patologia benigna, ma rappresenta il sintomo High sensitivity, and was associated with significant reduction of neuroimaging and In conclusion, STANDING seems to be a promising simple structuredīedside algorithm that in this preliminary study identified central AV with a very With very high sensitivity (100%, 95%CI 72.3-100%) and specificity (94.3%, 95%CI 90.7-94.3%).įurthermore, hospitalisation and neuroimaging test rates were lower in the STANDING ![]() The test had good interobserver agreement (k = 0.76), Included, and 48 (16.4%) had a diagnosis of central AV. Hospitalisation rates were compared with control group. Moreover, to evaluate the potential clinical impact of STANDING, neuroimaging and Reliability, sensibility and specificity of STANDING were calculated. The gold standard was a completeĪudiologic evaluation by a clinicians who are experts in assessing dizzy patientsĪnd neuroimaging. Test, standiNG) by one of five trained emergency physicians or evaluated ordinarilyīy the rest of the medical staff (control group). Vertigo were evaluated with STANDING (SponTAneous Nystagmus, Direction, head Impulse Adult patients presenting to a single Emergency Department with Performance of a structured bedside algorithm to differentiate central from non-centralĪcute vertigo (AV). In this pilot study, we preliminarily assessed the diagnostic Vertigo is generally due to a benign disorder, but it is the most common symptom associated ![]()
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