Benign Paroxysmal Positional Vertigo Clinical Trial
Official title:
Partnered Implementation of Evidence Based Best Care Practice for Benign Paroxysmal Positional Vertigo: A Stepped Wedge, Randomized Controlled Clinical Trial
Verified date | April 2019 |
Source | University of Michigan |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The study evaluates a theory-based educational intervention and implementation strategy on the use of the Dix-Hallpike test (DHT) and Canalith Repositioning Maneuver (CRM) in a community Emergency Department (ED) setting. The DHT and CRM are used to diagnose and treat Benign Paroxysmal Positional Vertigo (BPPV).
Status | Completed |
Enrollment | 7635 |
Est. completion date | April 16, 2018 |
Est. primary completion date | April 14, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - ED patient seen at one of six full service non-freestanding Emergency Departments in Nueces County, Texas - Principal dizziness case: the triage reason for visit is a dizziness symptom OR a dizziness symptom is one of first three listed complaints in physician medical record OR a dizziness diagnosis (e.g., dizziness or vertigo NOS, BPPV, vestibular neuritis) is recorded as one of the first three final ED diagnoses. Exclusion Criteria: |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
University of Michigan | National Institute on Deafness and Other Communication Disorders (NIDCD) |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Stroke at Index ED Dizziness Visit | Index ED Visit (within hours to 2 days) | ||
Other | ED Length of Stay | Index ED Visit (within hours to 2 days) | ||
Other | Neuroimaging utilization | Was CT, MRI, or vascular imaging performed in the ED | Index ED Visit (within hours to 2 days) | |
Other | Inpatient hospitalization Utilization | Was the patient admitted to the hospital from the ED | Index ED Visit (within hours to 2 days) | |
Primary | Likelihood of Receiving a BPPV Care Process | Pre-intervention (no intervention) vs. post-intervention (under intervention).The primary endpoint is measured at the individual patient level, and is the presence of documentation of either the Dix-Hallpike test, the Epley Maneuver (or CRM) (since the first step of the CRM is the diagnostic maneuver). | Index ED Visit (within hours to 2 days) | |
Secondary | Outpatient Referral to a BPPV Provider | Pre-intervention (no intervention) vs. post-intervention (under intervention) rate of referral to a BPPV provider | Index ED Visit (within hours to 2 days) | |
Secondary | 90-day Cumulative Incidence of Stroke | Stroke diagnosed on the index dizziness visits and for post index visit strokes (delayed diagnosis) within the dizziness population aged 45 and older seen in EDs that have received the intervention versus patients seen in EDs that have not received the intervention. | 90 days following initial ED discharge home visit for dizziness |
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