Evidence map›Paper›PMID 41258854›Full record

ArticleAnnals of emergency medicine2026

Cumulative Incidence of Stroke Disability and Mortality Following Emergency Department Discharge for Dizziness: A Cohort Study.

Kevin A Kerber, Navdeep Sangha, James F Burke, Molly O Jancis, Aileen Baecker, Ernest Shen, Huong Nguyen, Sanaz Monjazeb, Prasanth Manthena, Stacy Park and 2 more

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Article in Annals of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Kevin A KerberDepartment of Neurology, Ohio State University, Columbus, OH. Electronic address: kevin.kerber@osumc.edu.
Navdeep SanghaDepartment of Neurology, Kaiser Permanente Southern California, Los Angeles Medical Center, Los Angeles, CA.
James F BurkeDepartment of Neurology, Ohio State University, Columbus, OH.
Molly O JancisDepartment of Emergency Medicine, Kaiser Permanente Southern California, Los Angeles Medical Center, Los Angeles, CA.
Aileen BaeckerDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Ernest ShenDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Huong NguyenDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Sanaz MonjazebDepartment of Neurology, Kaiser Permanente Southern California, Los Angeles Medical Center, Los Angeles, CA.
Prasanth ManthenaDepartment of Neurology, Kaiser Permanente Southern California, Los Angeles Medical Center, Los Angeles, CA.
Stacy ParkDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Adam L SharpGalvan Health, Los Angeles, CA.
William J MeurerDepartment of Emergency Medicine, University of Michigan Health System, Ann Arbor, MI.

Funding

Implementation of Evidence-Based Practice for Benign Paroxysmal Positional VertigR01DC012760 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KERBER, KEVIN ANTHONY, MEURER, WILLIAM JOSEPH · 2013 to 2024
$6.2M
NIDCD NIH HHS R01 DC012760
6 · The paper itself

Abstract

STUDY

objectiveThe incidence of stroke after emergency department (ED) dizziness visits is low, indicating that missed strokes, a subset of subsequent strokes, are infrequent. However, little is known about the outcomes of individuals with subsequent stroke. This study estimates the incidence of stroke disability/mortality after ED dizziness visits.

methodsWe conducted a retrospective cohort study from January 2016 to December 2020 within Kaiser Permanente Southern California. We included all index visits for adults discharged home after an ED dizziness visit. Stroke hospitalization and stroke hospitalization with disability/mortality (subsequent stroke hospitalization discharged to any setting other than back to home) were captured over a 30-day follow-up period. Cumulative incidence of stroke disability/mortality was calculated using Kaplan-Meier estimates. Acute stroke management and stroke location on imaging were also summarized.

resultsWe identified 77,315 index ED dizziness visits discharged home. The 30-day cumulative incidence of stroke hospitalization was 0.12% (95% confidence interval [CI] 0.10 to 0.15; n=94; 1 in ∼830), and the cumulative incidence of stroke hospitalization with disability/mortality was 0.04% (95% CI 0.03 to 0.06; n=33; 1 in ∼2,500). Among subsequent strokes, most lesions were in the anterior fossa on imaging (59%; 55/94). The frequency of acute interventions was as follows: 1% (1/94) thrombolytics, 5% (5/94) thrombectomy, 2% (2/94) suboccipital craniotomy, 3% (3/94) tracheostomy, 3% (3/94) gastrostomy, and 10% (9/94) mechanical intubation.

conclusionAt the individual level, stroke that results in death or severe disability after discharge to home from an ED dizziness visit is rare. Because only a subset of the subsequent visits are likely to be directly related to the index visit, the frequency of missed strokes leading to death or disability should be considered to be even lower.

Indexed as

DizzinessEmergency Service, HospitalPatient DischargeStrokeAdultAgedAged, 80 and overCaliforniaCohort StudiesFemaleHospitalizationHumansIncidenceMaleMiddle AgedRetrospective StudiesCumulative incidenceDizzinessStrokeVertigo

Identifiers

PMID41258854
PMCPMC13492299

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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.