SGEM#376: I Wonder Why She Ran Away from the HINTS Exam

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2021HINTS, STANDING and ABCD2 for central versus peripheral causes of acute vertigoImaging & DiagnosticsIn 300 ED patients with acute vertigo, HINTS by trained emergency physicians identified central causes on MRI compared with STANDING and ABCD2
• 2017STANDINGImaging & DiagnosticsIn 352 ED patients with vertigo, the bedside STANDING algorithm, judged against the final adjudicated diagnosis, ruled out central vertigo with 99% negative predictive value.
• 2020HINTSImaging & DiagnosticsIn 617 adults with acute vestibular syndrome, HINTS ruled out central vertigo less reliably in mixed emergency cohorts than when performed by neurologists.
• 2015Stroke risk stratification in acute dizziness presentationsImaging & DiagnosticsIn 272 emergency department patients with acute dizziness, a HINTS ocular motor examination predicted stroke on MRI alongside the ABCD2 score and general neurologic examination.
• 2021Diagnostic Accuracy of the HINTS Exam in an Emergency Department: A Retrospective Chart ReviewImaging & DiagnosticsIn 2,309 emergency department patients with dizziness, the HINTS exam by emergency physicians was assessed against the final diagnosis for detecting a central cause.
• 2020Risk of acute brain lesions in dizzy patients presenting to the emergency roomImaging & DiagnosticsIn 610 ED patients with dizziness, vertigo or imbalance, delayed MRI found acute brain lesions in 33% with acute imbalance syndrome versus 11% on early CT.