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The remote neuro-otology assessment – managing dizziness in the coronavirus disease 2019 era

  • L Murdin (a1) (a2), Y Saman (a3) and P Rea (a3)

Abstract

Background

Coronavirus disease 2019 and other factors have driven interest in conducting remote consultations, but there has been little research on this topic in neuro-otology. With suitable preparation, neuro-otology patients with dizziness can have remote assessments that include elements of neuro-otological physical examination, with tailored management and onward pathways arranged.

Methods

This paper reports experience with remote consultation in over 700 neuro-otology patient consultations and suggests a systematic approach, illustrated by a clinical case report and data on 100 consultations.

Conclusion

Remote consultations can play a role in neuro-otology clinics. Further research is needed to establish patient acceptability, diagnostic accuracy, safety and efficiency of remote models of care for this patient group.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: Dr Louisa Murdin, ENT Department, Guy's and St Thomas’ NHS Foundation Trust, London SE1 9RT, UK E-mail: louisa.murdin@gstt.nhs.uk

Footnotes

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Dr L Murdin takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Greenhalgh, T, Wherton, J, Shaw, S, Morrison, C. Video consultations for covid-19. BMJ 2020;368:m998
2General Medical Council. Remote consultations. In: https://www.gmc-uk.org/ethical-guidance/ethical-hub/remote-consultations [15 May 2020]
3Rush, KL, Howlett, L, Munro, A, Burton, L. Videoconference compared to telephone in healthcare delivery: a systematic review. Int J Med Inform 2018;118:4453
4Gutenberg, J, Katrakazas, P, Trenkova, L, Murdin, L, Brdaric, D, Koloutsou, N et al. Big data for sound policies: toward evidence-informed hearing health policies. Am J Audiol 2018;27:493502
5Preminger, JE, Laplante-Levesque, A, Saunders, GH, Hughes, ML. Internet and audiology: a review of the third international meeting. Am J Audiol 2018;27:373–5

Keywords

The remote neuro-otology assessment – managing dizziness in the coronavirus disease 2019 era

  • L Murdin (a1) (a2), Y Saman (a3) and P Rea (a3)

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