Visual scale to document acute dizziness in the hospital

Bela Büki, Jaqueline Irsigler, Heinz Jünger, Christine Harrer, Michael C Schubert

Research output: Journal article (peer-reviewed)Journal article


BACKGROUND: Managing acute vertigo/dizziness for inpatients requires valid communication between the various healthcare professionals that triage such life-threatening presentations, yet there are no current scaling methods for managing such acute vertigo symptoms for inpatients.

OBJECTIVE: To describe the development and validation of the Krems Acute Vertigo/Dizziness Scale (KAVEDIS), a new instrument for tracking subjective symptoms (vertigo, dizziness) and gait impairment across four unique vestibular diagnoses (Menière's disease, benign paroxysmal positional vertigo, peripheral vestibular hypofunction, and vestibular migraine) over a one-year period after inpatient hospital admission.

METHODS: Retrospective data collection study from KAVEDIS scale and chart documentation.

RESULTS: The KAVEDIS scale can significantly distinguish scores from admission to discharge in three of four vestibular diagnoses. The documented course of subjective vestibular symptoms and gait disturbances were correlated in all four groups.

CONCLUSION: We suggest that KAVEDIS documentation among inpatients admitted with acute vertigo/dizziness may improve communication between the various intervening clinicians and help to raise concern in cases of symptomprogression.

Original languageEnglish
JournalJournal of Vestibular Research: Equilibrium and Orientation
Publication statusE-pub ahead of print - 01 Jul 2024


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