目的：在临床实践中评估周围性前庭疾病是一项特别困难的工作，特别是对于没有经验的临床医生。因此，本系统审查的目标是评估设计，方法，临床前庭症状分诊和决策支持工具的结果在当代发表的文献中报道。
方法：2020年8月使用MEDLINE对现有文献进行了全面搜索，CINAHL,和EMBASE使用所需的诊断工具，如算法，协议，和问卷以及涵盖前庭疾病的详尽术语。
方法：研究特征，工具指标，和性能是用标准化的形式提取的。使用改良版本的诊断准确性研究质量2（QUADAS-2）评估工具进行质量评估。
结果：共确定了18篇文章，每篇报道了一种评估前庭疾病的新工具。工具分为3个离散类别，包括自我管理的问卷，医疗保健专业管理工具，和决策支持系统。大多数工具可以区分特定的前庭病理，结果指标包括敏感性，特异性，和准确性。
结论：已经发表了许多工具来帮助评估眩晕患者。我们的系统评价确定了一些用于评估前庭疾病的分诊和决策支持工具的低证据报告。
OBJECTIVE: The evaluation of peripheral vestibular disorders in clinical practice is an especially difficult endeavor, particularly for the inexperienced clinician. The goal of this systematic
review is thus to evaluate the design, approaches, and outcomes for clinical vestibular symptom triage and decision support tools reported in contemporary published literature.
METHODS: A comprehensive search of existing literature in August 2020 was conducted using MEDLINE, CINAHL, and EMBASE using terms of desired diagnostic tools such as algorithm, protocol, and questionnaire as well as an exhaustive set of terms to encompass vestibular disorders.
METHODS: Study characteristics, tool metrics, and performance were extracted using a standardized form. Quality assessment was conducted using a modified version of the Quality of Diagnostic Accuracy Studies 2 (QUADAS-2) assessment tool.
RESULTS: A total of 18 articles each reporting a novel tool for the evaluation of vestibular disorders were identified. Tools were organized into 3 discrete categories, including self-administered questionnaires, health care professional administered tools, and decision support systems. Most tools could differentiate between specific vestibular pathologies, with outcome measures including sensitivity, specificity, and accuracy.
CONCLUSIONS: A multitude of tools have been published to aid with the evaluation of vertiginous patients. Our systematic
review identified several low-evidence reports of triage and decision support tools for the evaluation of vestibular disorders.
