...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The neurologist. >Neurologists’ Diagnostic Accuracy and Interspecialties’ Diagnostic Concordance of Acute Vertigo
【24h】

Neurologists’ Diagnostic Accuracy and Interspecialties’ Diagnostic Concordance of Acute Vertigo

机译：神经根学家的诊断准确性和三角形的急性眩晕诊断态度

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Acute vertigo (AV) is often a challenging condition. Because of its multiple causes, patients are frequently observed by neurologists and physicians from other areas of specialites, particularly Ear, Nose, and Throat (ENT). We aimed to assess the diagnostic accuracy of AV in patients observed by Neurology and other medical specialties. Materials and Methods: Retrospective cross-sectional study with the selection of all patients with AV observed by Neurology at the Emergency Department (ED) of a tertiary center in 2019, regarding demographic data, imaging studies, diagnosis by Neurology and ENT at the ED, and diagnosis after ED discharge by different medical specialties. Results: In all, 54 patients were selected, 28 (52%) of them were women. The mean age was 59.96±14.88 years; 48% had a history of AV and 89% underwent imaging studies (computed tomography scan and/or magnetic resonance imaging scan). The most frequent diagnosis established by Neurology was benign paroxysmal positional vertigo, followed by vestibular neuronitis; 28 patients were also observed by ENT with an overall concordance rate of diagnosis of 39%. After ED discharge, most patients were observed at the Balance Disorders Outpatient Clinic. Diagnosis by Neurology at the ED was not significantly different from observation by other medical specialties after ED discharge regarding the distinction between peripheral and central causes of AV (κ=0.840, 95% confidence interval: 0.740 to 0.941, P <0.005). Conclusions: Neurologists can effectively differentiate central and peripheral causes of AV at the ED. Patients with AV should be primarily evaluated by Neurology at the ED, avoiding redundant observations and allowing faster patient management.
机译：背景：急性眩晕（AV）通常是一种具有挑战性的疾病。由于其多种原因，神经科医生和其他特殊领域的内科医生经常对患者进行观察，尤其是耳鼻喉（耳鼻喉科）。我们的目的是评估神经病学和其他医学专业观察到的AV患者的诊断准确性。材料和方法：回顾性横断面研究，选择2019年在一家三级中心急诊科（ED）通过神经病学观察到的所有AV患者，包括人口统计学数据、影像学研究、ED的神经病学和耳鼻喉科诊断，以及不同医学专业在ED出院后的诊断。结果：共选择54例患者，其中28例（52%）为女性。平均年龄59.96±14.88岁；48%有房室传导病史，89%接受了影像学检查（计算机断层扫描和/或磁共振成像扫描）。神经病学最常见的诊断是良性阵发性位置性眩晕，其次是前庭神经炎；耳鼻喉科检查28例患者，总诊断符合率为39%。ED出院后，大多数患者在平衡障碍门诊就诊。关于AV的外周和中心原因之间的区别，ED的神经病学诊断与ED出院后其他医学专业的观察没有显著差异（κ=0.840，95%可信区间：0.740至0.941，P<0.005）。结论：神经科医生可以在急诊室有效地区分房室传导的中枢和外周原因。房室传导患者应在急诊室主要通过神经病学进行评估，避免重复观察，并允许更快的患者管理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号