BACKGROUND: Dizziness is a common occurrence witnessed at emergency departments (EDs). This study aims to describe the epidemiology and management of dizzy patients with and without an acute vestibular syndrome (AVS) in the ED at Umeå University Hospital. METHODS: A total of n = 2,126 ED dizziness visits during 3 years were identified. Data were obtained through retrospective review of medical records. Cases were stratified based on presentation, including AVS and neurological deficits. The outcomes analyzed included cerebrovascular causes of dizziness. A Poisson distribution was assumed when calculating incidence CIs. RESULTS: Dizziness accounted for 2.1% of all ED visits, incidence 477/100,000 inhabitants (95% CI 457-498). Among dizzy patients, 19.2% had an AVS, incidence 92/100,000 inhabitants (95% CI 74-113). Top medical diagnostic groups were otovestibular (15.1%), cardiovascular (8.7%) and neurological diseases (7.7%), including stroke and transitory ischemic attack (4.8%). Cerebrovascular causes of dizziness were more common among those with an AVS (10.0%) vs. those without (3.6%), p < 0.01. CONCLUSION: The risk for cerebrovascular causes of dizziness, although low in an unselected cohort, increases with the presence of neurological signs and an AVS. These population-based data may be useful when planning and implementing dizziness and AVS management algorithms at EDs.
BACKGROUND:Dizziness is a common occurrence witnessed at emergency departments (EDs). This study aims to describe the epidemiology and management of dizzypatients with and without an acute vestibular syndrome (AVS) in the ED at Umeå University Hospital. METHODS: A total of n = 2,126 ED dizziness visits during 3 years were identified. Data were obtained through retrospective review of medical records. Cases were stratified based on presentation, including AVS and neurological deficits. The outcomes analyzed included cerebrovascular causes of dizziness. A Poisson distribution was assumed when calculating incidence CIs. RESULTS:Dizziness accounted for 2.1% of all ED visits, incidence 477/100,000 inhabitants (95% CI 457-498). Among dizzypatients, 19.2% had an AVS, incidence 92/100,000 inhabitants (95% CI 74-113). Top medical diagnostic groups were otovestibular (15.1%), cardiovascular (8.7%) and neurological diseases (7.7%), including stroke and transitory ischemic attack (4.8%). Cerebrovascular causes of dizziness were more common among those with an AVS (10.0%) vs. those without (3.6%), p < 0.01. CONCLUSION: The risk for cerebrovascular causes of dizziness, although low in an unselected cohort, increases with the presence of neurological signs and an AVS. These population-based data may be useful when planning and implementing dizziness and AVS management algorithms at EDs.
Authors: Benjamin Nham; Nicole Reid; Kendall Bein; Andrew P Bradshaw; Leigh A McGarvie; Emma C Argaet; Allison S Young; Shaun R Watson; G Michael Halmagyi; Deborah A Black; Miriam S Welgampola Journal: J Neurol Date: 2021-08-16 Impact factor: 4.849
Authors: C Magnusson; J Gärskog; E Lökholm; J Stenström; R Wetter; C Axelsson; M Andersson Hagiwara; N Packendorff; K Jood; T Karlsson; J Herlitz Journal: BMC Emerg Med Date: 2021-03-25
Authors: Rascha von Martial; Christina Leinweber; Nikolai Hubert; Holger Rambold; Roman Ludwig Haberl; Gordian Jan Hubert; Peter Müller-Barna Journal: Front Neurol Date: 2022-02-11 Impact factor: 4.003
Authors: Peter Müller-Barna; Christina Leinweber; Julia Pfaffenrath; Nina Schütt-Becker; Rascha von Martial; Susanne Greck; Nikolai Hubert; Holger Rambold; Roman Haberl; Gordian Jan Hubert Journal: Front Neurol Date: 2022-03-02 Impact factor: 4.003
Authors: Solmaz Surano; Helena Grip; Fredrik Öhberg; Marcus Karlsson; Erik Faergemann; Maria Bjurman; Hugo Davidsson; Torbjörn Ledin; Ellen Lindell; Jan Mathé; Fredrik Tjernström; Tatjana Tomanovic; Gabriel Granåsen; Jonatan Salzer Journal: Trials Date: 2022-06-16 Impact factor: 2.728