Referral flowchart to guide care for adults with vertigo
Evaluation of a Diagnostic Aid Tool for the Management of Vertigo Patients for General Practitioners : A Retrospective, Single-center Study at the Strasbourg University Hospital.
This project will try a simple flowchart to help doctors decide referrals for adults who come in with vertigo.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 50 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University Hospital, Strasbourg, France Academic / other |
| Locations | 1 site (Strasbourg) |
| Trial ID | NCT07299487 on ClinicalTrials.gov |
What this trial studies
Researchers at CHU de Strasbourg developed a diagnostic flowchart and will apply it to adult vertigo consultations seen in the ENT department when initial care was provided by a medical student; the flowchart's recommendations will be compared to the definitive diagnosis made by the on-call ENT physician during the same visit. This is an observational analysis using existing consultation records and excludes patients with chronic vestibular pathology or incomplete files. The primary focus is whether the decision tree would have improved referral accuracy and reduced unnecessary resource use in primary care. All data are collected at a single center in Strasbourg, France.
Who should consider this trial
Good fit: Adults (≥18) seen in the CHU de Strasbourg ENT department who received initial care from a medical student and had a definitive ENT diagnosis recorded during the same visit.
Not a fit: People with known chronic vestibular disorders, minors, patients examined outside the ENT department, or those with incomplete records would not be expected to benefit from this tool.
Why it matters
Potential benefit: If successful, the tool could lead to more accurate and faster referrals, reducing missed diagnoses and unnecessary specialist visits.
How similar studies have performed: Prior diagnostic algorithms for dizziness and vertigo have in some cases improved referral accuracy in primary care, but few have been prospectively validated across multiple settings.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subject of legal age (≥18 years) * Having received initial care from a medical student and whose consultation data, interview, clinical examination, and diagnosis according to our decision tree were present in the patient file. * Patient for whom a definitive diagnosis was made by the on-call ENT physician during the same hospital visit. Exclusion Criteria: * Subject who expressed objection to the reuse of their data for scientific research. * Known chronic vestibular pathology * Incomplete patient medical file * Patient examined outside the ENT department.
Where this trial is running
Strasbourg
- Service d'ORL et de Chirurgie Cervico-faciale - CHU de Strasbourg - France — Strasbourg, France (Recruiting)
Study contacts
- Study coordinator: Guillaume TRAU, MD
- Email: guillaume.trau@chru-strasbourg.fr
- Phone: 33 3 88 12 76 44
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.