DEVELOPING A DIAGNOSTIC PROTOCOL FOR DIZZY ELDERLY PATIENTS IN PRIMARY CARE
- Conditions
- 10027584dizzinesspresyncope1000752110034606
- Registration Number
- NL-OMON30081
- Lead Sponsor
- Academisch Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 620
Inclusion Criteria
consultation in general practice for dizziness
Exclusion Criteria
- no complaints of dizziness at inclusion (which will be about 3-4 weeks after peresentation to the general practitioner)
- not able to communicate in Dutch or English
- cognitive impairment
- blindness (visual acuity < 3/60 in the better seeing eye. This means that the better seeing eye cannot identify the orientation of the break in the top ring at three metres on the Landolt*s broken-ring chart)
- deafness (permanent and profound loss of hearing in both ears with more than 90 decibels loss on the three frequencies of the Fletcher -index)
- totally wheelchair bound
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The combination of tests that is most discriminative in dizzy elderly patients<br /><br>with the judgement of an expert panel on the most desired medical management as<br /><br>reference. We aim to formulate diagnostic (prognostic) rules for the management<br /><br>of dizziness in elderly in general practice.<br /><br><br /><br>De combinatie van testen die het meest onderscheidend is bij duizeligheid van<br /><br>de oudere patiënt ten opzichte van de referentiestandaard: het oordeel van een<br /><br>deskundigenpanel ten aanzien van het te voeren beleid. Het streven is om<br /><br>diagnostische (en prognostische) regels te formuleren ten aanzien van het<br /><br>beleid bij duizeligheid bij ouderen in de huisartspraktijk. </p><br>
- Secondary Outcome Measures
Name Time Method <p>In the study for determinants the endpoints are clinical profiles, i.e.<br /><br>combinations of conditions (physical and/or mental), known by certain test<br /><br>results, that correlate with the complaint of dizziness. With a panel diagnosis<br /><br>as reference standard we will be able to determine the diagnostic odds ratio<br /><br>and likelihood ratios of diagnostic tests or combination of tests for some<br /><br>frequently occurring diagnoses.<br /><br><br /><br><br /><br>- diagnostic profiles, i.e. combinations of conditions (physical and/or<br /><br>mental), that correlate with the existance of complaints of dizziness.<br /><br>-diagnostic odds ratios and likelihoodratios of (combinations of) test results<br /><br>for some highly prevalent diagnsoses. </p><br>