Perspectives of emergency physicians, primary care physicians, and otolaryngologists on the diagnosis and treatment of acute vertigo

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dc.authorid0000-0002-4771-8824
dc.authorid0000-0002-5985-097X
dc.contributor.authorDede, Melike Nur
dc.contributor.authorBaşoğlu, Yuşa
dc.contributor.authorYılmaz, Berrin
dc.contributor.authorŞerbetçioğlu, Mustafa Bülent
dc.date.accessioned2023-06-19T11:49:39Z
dc.date.available2023-06-19T11:49:39Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Odyoloji Ana Bilim Dalı
dc.description.abstractURPOSE: This study aimed to explore the differences in diagnosis (Dix-Hallpike test; the head impulse, nystagmus, and the test of skew [HINTS] procedures; imaging modalities; and audiological battery) and treatment (pharmacological treatments and the Epley maneuver) of acute vertigo (AV) by examining the perspectives of otolaryngologists, emergency physicians (EPs), and primary care physicians (PCPs). METHOD: A total of 123 physicians (otolaryngologists [n = 40], EPs [n = 41], PCPs [n = 42]) were included in this study. This study was conducted using an online questionnaire created in Google Forms. The questionnaire included five demographic questions and eight questions assessing the diagnosis and treatment of four case scenarios (benign paroxysmal positional vertigo [BPPV], vestibular neuronitis, Meniere's disease [MD], and vertebrobasilar insufficiency). Multiple-response and chi-square tests were used to analyze the data. RESULTS: In the case of BPPV, 82.5% of otolaryngologists, 73.2% of EPs, and 59.6% of PCPs preferred the "Dix-Hallpike maneuver" (p = .067). In addition, 72.5% of otolaryngologists, 48.8% of EPs, and 47.6% of PCPs preferred the Epley maneuver for treatment in a case with BPPV (p = .032). It was found that physicians preferred the most (18.9%) "videonystagmography (VNG)-caloric" test for diagnosis in the MD case. There was a statistically significant difference in the intravenous serum therapy and rest, and Epley maneuver preferences of physicians for the treatment of cases with MD (p = .002 and p = .046). CONCLUSIONS: In this study, significant differences were found in the AV care provided by different specialties. Standardized education systems for AV (symposiums, congresses, scientific activities, etc., with multidisciplinary participation) may be beneficial for improving the diagnosis and treatment process of AV in our country.
dc.identifier.citationDede, M. N., Başoğlu, Y., Yılmaz, B. ve Şerbetçioğlu, M. B. (2023). Perspectives of emergency physicians, primary care physicians, and otolaryngologists on the diagnosis and treatment of acute vertigo. American Journal of Audiology, 32(2), 289-302. https://doi.org/10.1044/2022_AJA-22-00146
dc.identifier.doi10.1044/2022_AJA-22-00146
dc.identifier.endpage302
dc.identifier.issn1558-9137
dc.identifier.issn1059-0889
dc.identifier.issue2
dc.identifier.pmid36995903
dc.identifier.scopus2-s2.0-85160965760
dc.identifier.scopusqualityQ2
dc.identifier.startpage289
dc.identifier.urihttps://doi.org/10.1044/2022_AJA-22-00146
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11105
dc.identifier.volume32
dc.identifier.wos001023610900004en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDede, Melike Nur
dc.institutionauthorBaşoğlu, Yuşa
dc.institutionauthorYılmaz, Berrin
dc.institutionauthorŞerbetçioğlu, Mustafa Bülent
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofAmerican Journal of Audiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAcute Vertigo
dc.subjectOtolaryngologists
dc.subjectEmergency Physicians
dc.subjectPrimary Care Physicians
dc.titlePerspectives of emergency physicians, primary care physicians, and otolaryngologists on the diagnosis and treatment of acute vertigo
dc.typeArticle

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