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Lost in the Labyrinth: Predicting Central Neurological Causes of Vertigo Dizziness and Unsteadiness in the Emergency Department. A Multicentre Cross-sectional Observational Study

NCT ID: NCT07287891

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

825 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-26

Study Completion Date

2027-02-26

Brief Summary

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This study will assess the sensitivity and specificity of the bedside examination algorithm performed by ED physicians. Finally, it aims to identify predictors of a central cause of the symptoms. This will consequently reduce the rate of misdiagnosis as well as the costs and length of stay due to inappropriate neuroimaging.

Detailed Description

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Conditions

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ED With Vertigo Dizziness Unsteadiness

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Patients presenting at the ED with vertigo, dizziness, and unsteadiness

Patients presenting to the ED with vertigo/ dizziness

Bedside examination of Vertigo

Intervention Type DIAGNOSTIC_TEST

ED visit comprehensive of bedside examination of vertigo performed by trained EP or emergency medicine residents

Interventions

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Bedside examination of Vertigo

ED visit comprehensive of bedside examination of vertigo performed by trained EP or emergency medicine residents

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients presenting at the ED with vertigo, dizziness or unsteadiness
* \>= 18 years of age
* Patients able to give their consent

Exclusion Criteria

* Patients with dementia
* Bedridden patients (for causes other than the current symptoms)
* Patients with obvious neurological findings presenting with vertigo but with suspected stroke at triage
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione IRCCS Policlinico San Matteo di Pavia

OTHER

Sponsor Role lead

Responsible Party

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Marco Bonzano

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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SC Pronto Soccorso e Medicina d'Urgenza, Fondazione IRCCS Policlinico San Matteo

Pavia, Pavia, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Marco Bonzano, MD

Role: CONTACT

Phone: +390382502039

Email: [email protected]

Facility Contacts

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Marco Bonzano, MD

Role: primary

Other Identifiers

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VERTIGO

Identifier Type: -

Identifier Source: org_study_id