Frequency of neuro-imaging in the emergency room in patients with vertigo: A cross-sectional study at a tertiary care hospital in Karachi, Pakistan.
| Autor: | Baig MNA; Mirza Noor Ali Baig FCPS. Aga Khan University and Hospital (AKUH), Karachi, Pakistan., Kapadia N; Nazir Kapadia FCPS. Aga Khan University and Hospital (AKUH), Karachi, Pakistan., Raheem A; Ahmed Raheem FCPS. Aga Khan University and Hospital (AKUH), Karachi, Pakistan., Ismail M; Madiha Ismail FCPS. Aga Khan University and Hospital (AKUH), Karachi, Pakistan. |
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| Jazyk: | angličtina |
| Zdroj: | Pakistan journal of medical sciences [Pak J Med Sci] 2024 Mar-Apr; Vol. 40 (4), pp. 582-588. |
| DOI: | 10.12669/pjms.40.4.7029 |
| Abstrakt: | Objective: To determine the frequency of neuro-imaging and the prevalence of positive findings in patients with vertigo visiting an emergency room of a low-middle-income-country, Pakistan. Methods: This is a retrospective cross-sectional study conducted in the emergency room of the Aga Khan University Hospital, a 550 bedded tertiary care teaching facility located in Karachi, Pakistan. The frequency of neuro-imaging in patients visiting emergency room with vertigo during 20 years (2000-2020), their findings and disposition was calculated in percentages. A cost-analysis was performed in Pakistani Rupees & US Dollars to estimate the financial burden. Results: During the emergency room visits for vertigo, neuro-imaging (CT scans, MRIs, or both) was conducted for 159 patients, accounting for 70.98% of the cases. Out of these, 64 individuals (40.25%) received a positive diagnosis, which included acute infarcts, hemorrhages, metastases, space-occupying lesions, and meningeal enhancements. Interestingly, among those with negative findings, the 98 patients faced significantly higher costs, amounting to Rs.4,108,000 ($22,449), in contrast to the positive cases, which incurred Rs.2,496,600 ($13,642). Conclusion: The frequency of obtaining neuro-imaging tests in patients with vertigo were significantly high in our study. In addition, there was a significant financial burden associated with neuro-imaging especially for our low-middle-income country. Competing Interests: Conflict of interest: None. (Copyright: © Pakistan Journal of Medical Sciences.) |
| Databáze: | MEDLINE |
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