Emergency Department Vestibular Rehabilitation Therapy for Dizziness and Vertigo

Completed

• Conditions: Dizziness; Vertigo
• Interventions: Behavioral: Vestibular Rehabilitation; Other: Usual Care

• Registration Number: NCT05122663
• Lead Sponsor: Northwestern University

Brief Summary

ED-VeRT will enroll up to 125 adult emergency department (ED) patients presenting with a chief complaint of dizziness or vertigo to collect longitudinal outcomes over 3 months of follow-up. This will include 50 patients who were evaluated by an ED physical therapist (ie, vestibular rehabilitation) during their ED visit and 50 patients who received usual care. The aims of this trial are to: (1) obtain initial estimates of participant recruitment and retention, intra-cluster correlation, and between-group outcome differences that will inform sample size calculation for a future randomized clinical trial, and (2) assess feasibility and fidelity of a clinical classification protocol for undifferentiated dizziness among patients receiving ED vestibular rehabilitation.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-11-12
• Study First Submitted QC: 2021-11-12
• Study Start: 2021-11-16
• Study First Posted: 2021-11-17
• Primary Completion: 2023-05-01
• Study Completion: 2023-05-01
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-11
• Last Update Posted: 2024-07-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• Chief complaint relating to dizziness or vertigo
• Ability to complete follow-up data collection electronically or by telephone
• English-speaking

Exclusion Criteria

• Severe neurologic deficit concerning for ischemic or hemorrhagic stroke
• Known pregnancy, under police custody, unable to consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ED Physical Therapy	Vestibular Rehabilitation	Patients in the ED physical therapy group will have been evaluated by an emergency department physical therapist for dizziness/vertigo during their index ED visit.
Usual Care	Usual Care	Patients in the usual care group will NOT have received an evaluation by an ED physical therapist for dizziness/vertigo symptoms during their index ED visit.

Primary Outcome Measures

Name	Time	Method
Dizziness Handicap Inventory (DHI)	Three months after the index ED visit.	The DHI contains 25 items quantifying self-perceived handicapping effects of dizziness symptoms.

Secondary Outcome Measures

Name	Time	Method
ED Length of Stay	Index ED visit (up to one week)	Total length of stay, inclusive of hospitalizations and observation stays.
Patient-Reported Medication Use in Last 24 Hours	Three months after the index ED visit.	Patient-reported medication use for dizziness will be collected using a standardized instrument assess whether participants have taken any dizziness medication in the last 24 hours (binary yes/no). The 24-hour timeframe was selected to maximize accuracy in patient recall. In brief, dizziness medications are listed by brand and generic names; a "yes" response to any medication triggers an additional query asking the participant to specify the medication dose (e.g., meclizine 25mg) and quantity (e.g., one pill).
Vestibular Activities Avoidance Instrument (VAAI-9)	Three months after the index ED visit.	The VAAI-9 identifies fear avoidance beliefs in persons with dizziness. The VAAI-9 is the 9-item short form version of the VAAI.
ED Diagnostic Imaging Utilization	Index ED visit (one day)	The proportion of ED visits in which any diagnostic imaging of the brain was performed, including computed tomography and magnetic resonance imaging.

Trial Locations

Locations (1)

Northwestern Memorial Hospital; 🇺🇸 Chicago, Illinois, United States