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

Recruiting now

Conditions studied: ED With Vertigo, Dizziness, Unsteadiness

In brief

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.

Key facts

Study ID

NCT07287891

Run by

Fondazione IRCCS Policlinico San Matteo di Pavia

People needed

825

Starts

2024-01-26

Expected to finish

2027-02-26

Last updated by the study team

2025-12-17

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

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

You may not qualify if…

• 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

Where it is running

• SC Pronto Soccorso e Medicina d'Urgenza, Fondazione IRCCS Policlinico San Matteo — Pavia, Pavia, Italy (enrolling)

Full record on ClinicalTrials.gov

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