ArticleFrontiers in neurology
Inconsistencies in care: a UK and Ireland survey exploring acute vestibular service provision in adult major trauma centres.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Vestibular dysfunction is common following traumatic brain injury (TBI). Previous research has noted patients are not routinely assessed or treated acutely, due to uncertainty around healthcare professionals' roles and their limited knowledge and skills. This research however was limited to two UK London major trauma centres (MTCs). The present study aimed to explore current provision for acute post-traumatic vestibular assessment and treatment in UK and Ireland MTCs. Methods: An online survey was developed and refined with input from healthcare professionals. The final survey was distributed between April and August 2024 to healthcare professionals working in 32 adult MTCs in England, Wales, Scotland, and Ireland. Data were analysed using Excel. Results: Surveys were completed at 28/32 (87.5%) MTCs. 13/28 (38%) of respondents indicated routine vestibular assessment and treatment were provided. Barriers to routine assessment and treatment included knowledge and skills deficiencies and the absence of protocols. Geographic variation was evident with 75% of centres in London and Scotland reporting higher rates of routine vestibular assessment and treatment compared to 20%-25% of centres in other regions. Conclusion: Our findings show adult acute vestibular service provision is inconsistent across MTCs in the UK and Ireland, with the potential to cause inequalities in health and care outcomes. Strategies to address inconsistent service provision include training and the development of pathways and guidelines both nationally and locally.
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