Lee A, Jones G, Corcoran J, Premachandra P, Morrison G A J
Department of ENT, Guy's and St Thomas' NHS Foundation Trust, London, UK.
J Laryngol Otol. 2011 Jul;125(7):661-7. doi: 10.1017/S0022215111000624. Epub 2011 Apr 12.
To describe our experience of a new multidisciplinary balance clinic for the management of patients with vestibular disorders, run as a pilot project for 12 months.
Retrospective review of the outcomes of 194 patients.
All patients were first evaluated at the balance assessment clinic. Subsequently, each case was discussed at the multidisciplinary balance clinic weekly review meeting, and management decisions made.
The mean waiting time for the balance assessment clinic was 12 weeks (standard deviation six weeks). In total, 74 per cent of patients underwent rehabilitation, 26 per cent were seen in the balance specialist clinic, 15 per cent underwent additional testing, 6 per cent were followed up in adult otology clinics and one patient was listed for surgery. The waiting time for vestibular rehabilitation was reduced from 21 to 15 weeks. Patient satisfaction with the service was encouraging, and no adverse outcomes were recorded.
This multidisciplinary balance clinic, run by allied health professionals, represents an alternative model for the management of patients with balance disorders.
描述我们开办一个新的多学科平衡诊所来管理前庭疾病患者的经验，该诊所作为一个试点项目运行了12个月。
对194例患者的治疗结果进行回顾性分析。
所有患者均首先在平衡评估诊所接受评估。随后，每例病例在多学科平衡诊所的每周病例讨论会上进行讨论，并做出管理决策。
平衡评估诊所的平均等待时间为12周（标准差为6周）。共有74%的患者接受了康复治疗，26%的患者在平衡专科门诊就诊，15%的患者接受了额外检查，6%的患者在成人耳科门诊接受随访，1例患者被列入手术名单。前庭康复的等待时间从21周缩短至15周。患者对该服务的满意度令人鼓舞，且未记录到不良后果。
这个由专职医疗人员运营的多学科平衡诊所，为平衡障碍患者的管理提供了一种替代模式。
