Epidemiology of Dizzy Patient Population in a Neurotology Clinic and Predictors of Peripheral Etiology
| Autor: | Kevin J. Sykes, Hinrich Staecker, Axel Shum, Rahul S. Subbarayan, Thomas Muelleman, Matthew Shew, James Lin |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Benign paroxysmal positional vertigo Migraine Disorders Disease Dizziness Neurotology 03 medical and health sciences 0302 clinical medicine Vertigo Epidemiology otorhinolaryngologic diseases medicine Humans Benign Paroxysmal Positional Vertigo 030223 otorhinolaryngology Vestibular Neuronitis Meniere Disease Aged Retrospective Studies biology business.industry Retrospective cohort study Odds ratio Middle Aged biology.organism_classification medicine.disease Sensory Systems Otorhinolaryngology Physical therapy Etiology Female sense organs Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Otology & Neurotology. 38:870-875 |
| ISSN: | 1537-4505 1531-7129 |
| DOI: | 10.1097/mao.0000000000001429 |
| Popis: | Objective To compare the proportion of peripheral versus nonperipheral dizziness etiologies among all patients, inclusive of those presenting primarily or as referrals, to rank diagnoses in order of frequency, to determine whether or not age and sex predict diagnosis, and to determine which subgroups tended to undergo formal vestibular testing. Study design Retrospective cohort. Setting Academic neurotology clinic. Patients Age greater than 18 neurotology clinic patients with the chief complaint of dizziness. Intervention(s) None. Main outcome measure(s) Age, sex, diagnosis, record of vestibular testing. Results Two thousand seventy-nine patients were assigned 2,468 diagnoses, of which 57.7 and 42.3% were of peripheral and nonperipheral etiologies, respectively. The most common diagnoses were Meniere's (23.0%), vestibular migraine (19.3%), benign paroxysmal positional vertigo (BPPV) (19.1%), and central origin, nonmigraine (16.4%). Peripheral diagnoses are more likely to be found in men than in women (odds ratio [OR] 1.59). Peripheral diagnoses were most likely to be found in the 60 to 69 age group (OR 3.82). There was not a significant difference in rate of vestibular testing between women and men. Among patients with two diagnoses, the most common combinations were vestibular migraine and BPPV then vestibular migraine and Meniere's. Conclusions A large proportion of patients seen for the chief complaint of dizziness in the neurotology clinic were found not to have a peripheral etiology of their symptoms. These data challenge a prevalent dogma that the most common causes of dizziness are peripheral: BPPV, vestibular neuritis, and Meniere's disease. Age and sex are statistically significant predictors of peripheral etiology of dizziness. |
| Databáze: | OpenAIRE |
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