Amanda Spavin, Alison Moore, Judith Lunn, Faye Tucker
Reflecting on parental insights into healthy lifestyles: a qualitative study
Lancet (London, England)
assess emergency physicians diagnostic approach patient dizziness using multicenter quantitative survey anonymously surveyed attending resident emergency physicians 17 academicaffiliated emergency departments internetbased survey september 1 2006 november 3 2006 survey respondents ranked relative importance symptom quality timing triggers associated symptoms indicated agreement 20 statements diagnostic assessment dizziness likert scale used logistic regression assess impact symptom quality ranked first odds agreement diagnostic statements stratified responses academic rank 505 individuals surveyed 415 responded overall response rate 82 total 93 95 confidence interval ci 9095 agreed determining type dizziness important 64 95 ci 6069 ranked symptom quality important diagnostic feature multivariate model ranking quality first particularly resident physicians often reported highrisk reasoning might predispose patients misdiagnosis eg patient persistent continuous dizziness could cerebellar stroke resident physicians reported feeling reassured normal head computed tomogram indicates patient safely go home odds ratio 674 95 ci 2052219 physicians report taking qualityofsymptoms approach diagnosis dizziness patients emergency department relying heavily approach may predisposed highrisk downstream diagnostic reasoning clinical features eg timing triggers associated symptoms appear relatively undervalued educational initiatives merit consideration