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Clinician’s perspectives in using head impulse-nystagmus-test of skew (HINTS) for acute vestibular syndrome: UK experience

Charlotte L Warner, Lisa Bunn, Nehzat Koohi, Gunnar Schmidtmann, Jennifer Freeman, Diego Kaski
DOI: 10.1136/svn-2021-001229 Published 27 April 2022
Charlotte L Warner
1 School of Health Professions, University of Plymouth, Plymouth, UK
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Lisa Bunn
1 School of Health Professions, University of Plymouth, Plymouth, UK
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Nehzat Koohi
2 Department of Clinical and Movement Neurosciences, University College London, London, UK
3 The Ear Institute, University College London, London, UK
4 Neuro-otology Department, University College London Hospitals, London, UK
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Gunnar Schmidtmann
1 School of Health Professions, University of Plymouth, Plymouth, UK
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Jennifer Freeman
1 School of Health Professions, University of Plymouth, Plymouth, UK
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Diego Kaski
2 Department of Clinical and Movement Neurosciences, University College London, London, UK
3 The Ear Institute, University College London, London, UK
4 Neuro-otology Department, University College London Hospitals, London, UK
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    Figure 1

    (A) Training types that respondents have used for learning and performing HINTS assessment, and types of formal training that respondents requested. (B) The perceived confidence of performing HINTS (n=42). Note that no respondent was ‘very confident’, with the majority rating themselves as being ‘not or slightly confident’. (C) The likelihood to request further investigation even if no central pathology was suspected when using HINTS (n=42). Most participants were somewhat or very likely to request a scan or second opinion. HINTS, head Impulse-nystagmus-test of skew.

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Stroke and Vascular Neurology: 7 (2)
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Clinician’s perspectives in using head impulse-nystagmus-test of skew (HINTS) for acute vestibular syndrome: UK experience
Charlotte L Warner, Lisa Bunn, Nehzat Koohi, Gunnar Schmidtmann, Jennifer Freeman, Diego Kaski
Stroke and Vascular Neurology Apr 2022, 7 (2) 172-175; DOI: 10.1136/svn-2021-001229

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Clinician’s perspectives in using head impulse-nystagmus-test of skew (HINTS) for acute vestibular syndrome: UK experience
Charlotte L Warner, Lisa Bunn, Nehzat Koohi, Gunnar Schmidtmann, Jennifer Freeman, Diego Kaski
Stroke and Vascular Neurology Apr 2022, 7 (2) 172-175; DOI: 10.1136/svn-2021-001229
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Clinician’s perspectives in using head impulse-nystagmus-test of skew (HINTS) for acute vestibular syndrome: UK experience
Charlotte L Warner, Lisa Bunn, Nehzat Koohi, Gunnar Schmidtmann, Jennifer Freeman, Diego Kaski
Stroke and Vascular Neurology Apr 2022, 7 (2) 172-175; DOI: 10.1136/svn-2021-001229
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