Diagnostic Accuracy of the HINTS Exam in an Emergency Department: A Retrospective Chart Review.

Caitlin DmitriewAaron RegisOluwadamilola BodundeRory LepageZachary TurgeonSarah McIsaacRobert Ohle

Published in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2020)

Our results suggest that despite widespread use of the HINTS exam in our ED, its diagnostic value in that setting was limited. The test was frequently used in patients who did not meet criteria to receive the HINTS exam (i.e., continuous vertigo, nystagmus, and unsteady gait). Additional training of emergency physicians may be required to improve test sensitivity and specificity.

Keyphrases

emergency department
primary care
public health
healthcare
structural basis