Evidence map›Paper›PMID 32221628›Full record

ArticleHNO2020

[Dizziness and vertigo in a tertiary ENT emergency department].

L Comolli, M Goeldlin, J Gaschen, C Kammer, T C Sauter, M D Caversaccio, R Kalla, U Fischer, G Mantokoudis

Abstract read
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In one paragraph

Article in HNO, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

L ComolliDepartment of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
M GoeldlinDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
J GaschenDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
C KammerDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
T C SauterDepartment of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Schweiz.
M D CaversaccioDepartment of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
R KallaDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
U FischerDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz.
G MantokoudisDepartment of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital Bern, University of Bern, Bern, Schweiz. georgios.mantokoudis@insel.ch.
University of Bern · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough vestibular symptoms are amongst the most frequent reasons for seeking emergency medical help, many patients remain undiagnosed.

objectiveIn this cross-sectional study, we investigated the spectrum of vertigo and dizziness in a tertiary ear, nose, and throat (ENT) emergency department (ED). Furthermore, we investigated the attendant symptoms, clinical signs, and the diagnostic tests performed.

methodsWe screened all ED reports from 01/2013 to 12/2013 for adult patients with vestibular symptoms referred to the ENT department.

resultsIn total, we found 2596 cases with reported vestibular symptoms in the ED as a main or accompanying complaint. Of these, 286 were referred to the ENT specialist directly (n = 98) or via other major medical specialties (n = 188). Benign paroxysmal positional vertigo (BPPV) was the most frequent diagnosis in our study (n = 46, 16.1%), followed by vestibular neuritis (n = 44, 15.4%), otitis media (n = 20, 7%), and 9 patients (3.1%) had an ischemic stroke or a transient ischemic attack. In 70 (24.5%) cases, dizziness was not further specified.

conclusionBPPV is the most frequent diagnosis seen in the ED; however, physicians need to document nystagmus more precisely and perform diagnostic tests systematically, in order to make an accurate diagnosis. To avoid misdiagnoses, ED physicians and ENT specialists should be able to recognize central signs in patients with an acute vestibular syndrome. Every fourth patient does not receive a definitive diagnosis. Diagnostic ED workup for patients with dizziness needs further improvement.

Indexed as

Benign Paroxysmal Positional VertigoDizzinessPatient Acceptance of Health CarePharynxAdultCross-Sectional StudiesEmergency Service, HospitalHumansAcute vestibular syndromeCross sectional studyDiagnosticEpidemiologyFrequency

Identifiers

PMID32221628
OpenAlexW3013864920

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.