Influence of Age and Cardiovascular Risk Factors in Vestibular Neuritis: Retrospective Cohort Study.

Autor: Coronel-Touma GS; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain., Monopoli-Roca C; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain., Almeida-Ayerve CN; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain., Marcos-Alonso S; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain., Gómez de la Torre-Morales D; Department of Neurology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain., Serradilla-López J; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.; Biomedical Research Institute of Salamanca (IBSAL), Faculty of Medicine, The University of Salamanca, 37007 Salamanca, Spain., Cruz-Ruiz SS; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.; Biomedical Research Institute of Salamanca (IBSAL), Faculty of Medicine, The University of Salamanca, 37007 Salamanca, Spain., Batuecas-Caletrío Á; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.; Biomedical Research Institute of Salamanca (IBSAL), Faculty of Medicine, The University of Salamanca, 37007 Salamanca, Spain., Sánchez-Gómez H; Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.; Biomedical Research Institute of Salamanca (IBSAL), Faculty of Medicine, The University of Salamanca, 37007 Salamanca, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2023 Oct 16; Vol. 12 (20). Date of Electronic Publication: 2023 Oct 16.
DOI: 10.3390/jcm12206544
Abstrakt: To analyze the influence of age and cardiovascular risk factors (CVRFs) in the evolution of vestibular neuritis (VN).
Methods: Retrospective cohort study. VN-diagnosed patients were included and divided into two groups: those with and without CVRFs. We analyzed the mean vestibular-ocular reflex (VOR) gain, measured through the video head impulse test (vHIT) at the diagnosis and one-year follow-up. We conducted a factorial analysis of variance (ANOVA) to evaluate the effect of age, sex, and CVRFs in the mean VOR gain.
Results: Sixty-three VN-diagnosed patients were included. There were no statistically significant differences in the mean VOR gain between both groups. However, in the subgroup analysis, there were statistically significant differences when comparing the mean VOR gain at the one-year follow-up between the group over 55 years of age 0.77 ± 0.20 and the group under 55 years 0.87 ± 0.15 ( p = 0.036). Additionally, the factorial ANOVA demonstrated a significant main effect of age group on the mean VOR gain at the one-year follow-up ( p = 0.018), and it also found a significant interaction between the factors of gender, age group, HTN ( p = 0.043).
Conclusions: CVRFs do not independently affect the mean VOR gain in VN patients' follow-ups. However, age significantly impacts VOR gain in VN and could be modulated by gender and hypertension.
Databáze: MEDLINE
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