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 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03425786 -
Benign Paroxysmal Positional Vertigo (BPPV) Training for Sports Medicine Providers in a Pediatric Concussion Program
|
N/A | |
Completed |
NCT02046980 -
Treatment of Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo
|
Phase 2 | |
Withdrawn |
NCT00978809 -
Effects of Physical Treatment on Postural Stability in Benign Paroxysmal Positional Vertigo (BPPV) Patients
|
N/A | |
Completed |
NCT02029508 -
The Treatment of Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo
|
Phase 3 | |
Completed |
NCT03230513 -
Comparison of Home-Based Exercise on the Posterior Canal Benign Paroxysmal Positional Vertigo Symptoms
|
N/A | |
Completed |
NCT03643354 -
Evaluation of the Prevalence of BPPV and Longterm Effects of Its Therapy Using the Rotundum Device in Retirement Homes
|
N/A | |
Completed |
NCT00641797 -
Treating Benign Paroxysmal Positional Vertigo (BPPV) in ED Patients
|
N/A | |
Recruiting |
NCT06001047 -
Head Acupuncture Treat Residual Symptoms After Canalith Repositioning Procedure for BPPV
|
N/A | |
Not yet recruiting |
NCT04578262 -
Epley Manoeuvre in Participants With Multiple Sclerosis Diagnosed From Benign Paroxysmal Positional Vertigo
|
N/A | |
Not yet recruiting |
NCT04578470 -
Benign Paroxysmal Positional Vertigo (BPPV) in Older Patients
|
Phase 2 | |
Completed |
NCT05748249 -
Evaluation of the Efficacy of Vertistop® D and Vertistop® L in the Prevention of BPPV Recurrence
|
Phase 1 | |
Active, not recruiting |
NCT06314581 -
Effect of a Multifaceted Educational Intervention on the Implementation of Evidence-based Practices for Benign Paroxysmal Positional Vertigo in an Emergency Department
|
||
Completed |
NCT04715282 -
The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
|
N/A | |
Terminated |
NCT03161470 -
Efficacy of a Mechanical Chair for Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
|
N/A | |
Completed |
NCT05425199 -
Habituation Exercises Versus Proprioceptive Training in Benign Paroxysmal Positional Vertigo
|
N/A | |
Recruiting |
NCT05922774 -
Cervical Vestibular Evoked Myogenic Potentials in Recurrent and Persistant Benign Paroxysmal Positional Vertigo
|
||
Recruiting |
NCT05013684 -
Benign Paroxysmal Positional Vertigo in Older Adults
|
N/A | |
Not yet recruiting |
NCT05863949 -
Clinical Trial of Vit D and Calcium for Recurrent BPPV
|
N/A | |
Completed |
NCT05127694 -
Treatment In Acute Benign Paroxysmal Positional Vertigo
|
N/A | |
Suspended |
NCT04026516 -
CAVA: Dizziness Trial
|
N/A |