Using HINTS in acute vestibular syndrome: A practical guide for the acute care physician.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Steven Aldridge, Kailash Krishnan
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引用次数: 0

Abstract

Acute vestibular syndrome (AVS) is a common clinical presentation. Common causes include peripheral, self-limiting labyrinthine disorders, but a significant proportion are caused by posterior circulation stroke (PoCS). Delineating between a peripheral versus central cause in AVS is challenging for acute care physicians, but a simple, three-step bedside test known collectively as the HINTS examination may be useful. Substantial evidence supports the use of the HINTS examination in detection of PoCS in AVS, but it is important that performer is trained and experienced to ensure reliability of the test's results. There is some evidence that video-assisted HINTS examination may help to improve HINTS performance, but further research is needed. This review is a practical guide for acute care physicians in regards to when to perform the HINTS examination, how to interpret its findings, limitations and practical considerations.

在急性前庭综合征中使用提示:急性护理医师的实用指南。
急性前庭综合征(AVS)是一种常见的临床表现。常见的原因包括外周,自限性迷路障碍,但很大一部分是由后循环卒中(PoCS)引起的。对于急症护理医生来说,区分AVS的外周病因和中心病因是一项挑战,但一种简单的三步床边检查(统称为提示检查)可能很有用。大量证据支持在AVS中使用提示检查来检测PoCS,但重要的是,执行人员必须经过培训和经验,以确保测试结果的可靠性。有证据表明视频辅助提示考试有助于提高提示成绩,但还需要进一步的研究。这篇综述是一个实用的指导急症护理医生关于何时进行提示检查,如何解释其发现,局限性和实际考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
81
审稿时长
20 weeks
期刊介绍: The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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