A Benign Paroxysmal Positional Vertigo Triage Clinic Purpose The purpose of this study was to evaluate the effectiveness of triaging patients with motion-provoked dizziness into a benign paroxysmal positional vertigo (BPPV) clinic. Method A retrospective chart review was performed of veterans who were tested and treated for BPPV in a triaged BPPV clinic and veterans ... Clinical Focus
Newly Published
Clinical Focus  |   September 18, 2017
A Benign Paroxysmal Positional Vertigo Triage Clinic
 
Author Affiliations & Notes
  • Kristal M. Riska
    Division of Head and Neck Surgery and Communication Sciences, Department of Surgery, Duke University Medical Center, Durham, NC
    Vestibular Balance Laboratory and Auditory Vestibular Research Enhancement Award Program, Mountain Home Veterans Affairs Medical Center, TN
  • Faith W. Akin
    Vestibular Balance Laboratory and Auditory Vestibular Research Enhancement Award Program, Mountain Home Veterans Affairs Medical Center, TN
    Department of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City
  • Laura Williams
    Department of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City
    Audiology and Speech Pathology Service, San Diego Veterans Affairs Medical Center, La Jolla, CA
  • Stephanie B. Rouse
    Vestibular Balance Laboratory and Auditory Vestibular Research Enhancement Award Program, Mountain Home Veterans Affairs Medical Center, TN
  • Owen D. Murnane
    Vestibular Balance Laboratory and Auditory Vestibular Research Enhancement Award Program, Mountain Home Veterans Affairs Medical Center, TN
    Department of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Kristal Riska: kristal.riska@duke.edu
  • Editor: Sumitrajit Dhar
    Editor: Sumitrajit Dhar×
  • Associate Editor: Ann Eddins
    Associate Editor: Ann Eddins×
Article Information
Balance & Balance Disorders / Newly Published / Clinical Focus
Clinical Focus   |   September 18, 2017
A Benign Paroxysmal Positional Vertigo Triage Clinic
American Journal of Audiology, Newly Published. doi:10.1044/2017_AJA-16-0119
History: Received December 8, 2016 , Revised March 30, 2017 , Accepted April 24, 2017
 
American Journal of Audiology, Newly Published. doi:10.1044/2017_AJA-16-0119
History: Received December 8, 2016; Revised March 30, 2017; Accepted April 24, 2017

Purpose The purpose of this study was to evaluate the effectiveness of triaging patients with motion-provoked dizziness into a benign paroxysmal positional vertigo (BPPV) clinic.

Method A retrospective chart review was performed of veterans who were tested and treated for BPPV in a triaged BPPV clinic and veterans who were tested and treated for BPPV in a traditional vestibular clinic.

Results The BPPV triage clinic had a hit rate of 39%. On average, the triaged BPPV clinic reduced patient wait times by 23 days relative to the wait times for the traditional vestibular clinic while also reducing patient costs.

Conclusion Triaging patients with BPPV is one method to improve access to evaluation and treatment and a mechanism for the effective use of clinic time and resources.

Acknowledgments
Support for this study was provided by the Auditory Vestibular Research Enhancement Award Program sponsored by the Rehabilitation Research and Development Service, Department of Veterans Affairs, Washington, D.C. This article was presented at the Joint Defense Veterans Audiology Conference, Nashville, Tennessee, in February 2013 and at the American Balance Society Annual Meeting in Scottsdale, Arizona, in March 2012. The authors would like to acknowledge Ginny Alexander and Courtney Hall for their help with the database and research design, respectively.
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