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Emergency Medicine Journal 2009;26:813-815; doi:10.1136/emj.2009.078162
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 1: STEROIDS FOR PATIENTS WITH VESTIBULAR NEURONITIS

Hao-Chang Chou, MD, Zui-Shen Yen, MD, MPH

Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

The first 150 words of the full text of this article appear below.

Report by: Hao-Chang Chou, MD

Search checked by: Zui-Shen Yen, MD, MPH

Institution: Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

A short-cut review was carried out to establish whether steroid therapy is useful in patients with vestibular neuronitis. A total of 222 papers was found using the reported search, six of them represented the best evidence to answer this clinical question. The respective author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are shown in table 1. It is concluded that there is insufficient evidence to recommend the adoption of this practice in the emergency setting.


 

Three-part question

In [an adult presenting to the emergency department with acute vestibular neuronitis] does [steroids therapy] improve the [time to recovery]?

Clinical scenario

A 50-year-old male patient came to . . . [Full text of this article]


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