Clinical Connections: Report on a QI Project Prevalence of Benign Paroxysmal Positional Vertigo in a TBI Population

May 18, 2021

This QI project looked at the prevalence of Benign Paroxysmal Positional Vertigo (BPPV) in a Traumatic Brain Injury (TBI) population. There are more than 2.5 million ED visits from TBIs. The lasting implications of TBI included altered cognition, impaired language, deficits in strength, balance, endurance, motor planning, and safety. BPPV is a disorder of the inner ear that results in repeated episodic dizziness. This is secondary to debris that is lodged in a canal causing the room spinning sensation. BPPV has mostly been studied in a non-traumatic population. BPPV is easy to treat once correctly diagnosed, but often results in unnecessary healthcare costs to come to a diagnosis. In this QI project, the physical therapists on Mercy’s Brain Injury Rehab wanted to explore a potential prevalence between a traumatic incident and BPPV. Previous studies have looked at screening patients with a TBI for BPPV but only if the patient reported symptoms. This project, because of the nature of brain injury and the significant cognitive affects that result, screened all patients regardless of whether they could report symptoms of dizziness. In our sample, there was a 25.19% prevalence of BPPV, which compared to previous data was found to be statistically significant. We propose that all patients who have a traumatic mechanism of head injury be screened for BPPV regardless of symptom complaints.

Target Audience

Nurses, physical therapists, occupational therapists, speech/language pathologists, case managers, social workers, physiatrists/ physicians, fellows, and residents involved with the acute care and rehabilitation of persons with traumatic brain injury are encouraged to attend.

Learning Objectives

Having attended this activity, attendees will:
1. Understand the prevalence of brain injury in the US
2. Understand the prevalence of BPPV in the US
3. Explore the potential relationship between BPPV and TBI
4. Implement a process to address relationship to improve patient outcomes and quality of life

Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.25 Attendance
Course opens: 
03/04/2021
Course expires: 
06/30/2021
Event starts: 
05/18/2021 - 4:00pm
Event ends: 
05/18/2021 - 5:30pm
Cost:
$1.00

Program Schedule
4:00pm    Sign in

4:15pm    Welcome and Introduction - Briana Kelly

4:20pm    Presentation and Q&A - Regan Harrell & Chelsea Manetta

5:30pm    Adjourn

Live Virtual Conference

Presenters
Regan Harrell, PT, DPT, NCS
UPMC Mercy
Chelsea Manetta, DPT
UPMC Mercy

Course Director
Briana Kelly, MOT, OT/L
Senior Manager, Rehab Organizations
UPMC Rehabilitation Institute

Regan Harrell has no relevant financial or non-financial relationships to disclose.
Chelsea Manetta has no relevant financial or non-financial relationships to disclose.
Briana Kelly has no relevant financial or non-financial relationships to disclose.

CME Accreditation and Designation Statement

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.5 contact hours.

Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.


This course is being offered for 1.5 ASHA CEUs (Intermediate Level; Professional Area).

The University of Pittsburgh Department of Occupational Therapy is a pre-approved provide of continuing education in Pennsylvania. This course is approved for 1.5 Contact Hours.

The University of Pittsburgh Department of Physical Therapy is a pre-approve provider of Continuing Education in Pennsylvania. This course is approved for 1.5 units of General Access CEUs.

This program is offered for 1.5 CE hours of social work continuing education through co-sponsorship of the University of Pittsburgh's School of Social Work, a Council on Social Work Education accredited school and therefore a PA pre-approved provider of social work continuing education. These credit hours satisfy requirements for LSW/LCSW, LMFT, and LPC

Available Credit

  • 0.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.25 Attendance

Price

Cost:
$1.00
Please login or register to take this course.

Instructions to Register
This program is free to all CRS and UPMC employees.
Deadline to register is May 16, 2021.
Registering online is the quickest and easiest way to reserve your space at CCEHS conferences.
• Visit our online registration site at: cce.upmc.com
• Here is the direct link to register:
• Click the “Register/Take Course? Button and enter all the requested information. After registering, an electronic confirmation will be sent to you. Online registration is complete upon receipt of a confirmation email. If you do not receive the confirmation email immediately, please contact Jessa Darwin (jcd79@pitt.edu).

Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling Amy Pietrolaj at 412-232-4072.