The economic burden of vertigo and dizziness in the United States
| Autor: | Chandruganesh Rasendran, Jeremy S Ruthberg, Todd D. Otteson, Sarah E. Mowry, Armine Kocharyan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Panel survey
Adult Male medicine.medical_specialty Dizziness 03 medical and health sciences 0302 clinical medicine Cost of Illness Vertigo Home health Health care otorhinolaryngologic diseases medicine Humans Medical prescription 030223 otorhinolaryngology Socioeconomic status Retrospective Studies biology business.industry General Neuroscience Emergency department biology.organism_classification Sensory Systems United States Otorhinolaryngology Emergency medicine Female Neurology (clinical) Health Expenditures business 030217 neurology & neurosurgery |
| Zdroj: | Journal of vestibular research : equilibriumorientation. 31(2) |
| ISSN: | 1878-6464 |
| Popis: | BACKGROUND: Vertigo and dizziness are extremely common conditions in the adult population and therefore place a significant social and economic burden on both patients and the healthcare system. However, limited information is available for the economic burden of vertigo and dizziness across various health care settings. OBJECTIVE: Estimate the economic burden of vertigo and dizziness, controlling for demographic, socioeconomic, and clinical comorbidities. METHODS: A retrospective analysis of data from the Medical Expenditures Panel Survey (2007–2015) was performed to analyze individuals with vertigo or dizziness from a nationally representative sample of the United States. Participants were included via self-reported data and International Classification of Diseases, 9th Revision Clinical Modification codes. A cross-validated 2-component generalized linear model was utilized to assess vertigo and dizziness expenditures across demographic, socioeconomic and clinical characteristics while controlling for covariates. Costs and utilization across various health care service sectors, including inpatient, outpatient, emergency department, home health, and prescription medications were evaluated. RESULTS: Of 221,273 patients over 18 years, 5,275 (66% female, 34% male) reported either vertigo or dizziness during 2007–2015. More patients with vertigo or dizziness were female, older, non-Hispanic Caucasian, publicly insured, and had significant clinical comorbidities compared to patients without either condition. Furthermore, each of these demographic, socioeconomic, and clinical characteristics lead to significantly elevated costs due to having these conditions for patients. Significantly higher medical expenditures and utilization across various healthcare sectors were associated with vertigo or dizziness (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|