NCT04118361

Eye-ECG Approach to Emergencies : Diagnostic Performance of the HINTS Test

Completed NA Last updated 14 January 2022

What this trial tests

NA trial testing HINTS Test in Acute Vestibular Syndrome in 300 participants. Completed in 10 October 2021.

Timeline

3 October 2019

Primary endpoint
24 January 2021

10 October 2021

Quick facts

Lead sponsor	Fondation Hôpital Saint-Joseph
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	na
Design	single group
Masking	none
Primary purpose	diagnostic
Enrollment	300
Start date	3 October 2019
Primary completion	24 January 2021
Estimated completion	10 October 2021
Sites	1 location across France

Drugs / interventions tested

• HINTS Test
• STANDING Algorithm

Conditions studied

• Acute Vestibular Syndrome — all drugs for Acute Vestibular Syndrome →
• Emergencies — all drugs for Emergencies →

Sponsor

Fondation Hôpital Saint-Joseph — full company profile →

Who can join

18 and older, any sex, with Acute Vestibular Syndrome or Emergencies. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Vertigo integrated with acute vestibular syndrome (AVS) is a frequent reason for emergency visits. The French and international literature estimates between 2 to 4% of vertigo prevalence among reasons for coming to emergencies. International classifications define AVS as vertigo or acute dizziness (less than one month) and persistent, gait instability, nausea or vomiting, nystagmus or an intolerance to head movements.

In emergency departments, the clinical approach of vertiginous patients is difficult because the "vertigo" term is sometimes used in by patients, or because they use the terms "uneasiness", "vertigo", or "dizziness" without distinction. These terms sometimes include various sensations of "sleeping head", "blurred vision", "instability", "pitch" etc. A first difficulty is therefore to clarify these terms and organize syndrome expressed by the patient. A rigorous interrogation is therefore essential and can be time-consuming.

Another difficulty is to carry out an exhaustive clinical examination including the assessment of the general condition and hydration, an ENT examination and a neurological examination. However, at the end of these steps, the orientation central or peripheral etiology is not simple. In the last consensus conference of the Barany Society (2014) the classification of VAS into three types was not sufficient to distinguish "benign" vertigo from "risky" dizziness (related to a central cause).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.