Presentation of dizziness in individuals with chronic otitis media: data from the multinational collaborative COMQ-12 study
Autor: | Chunfu Dai, Tetsuya Tono, Daniele Bernardeschi, Françoise Denoyelle, Taehoon Kong, M.W. Yung, Can Doruk, Ian Nunney, Romain Kania, Augusto Peñaranda, Bhavesh V. Tailor, Nicola Quaranta, John S. Phillips, Hakan Kara |
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Přispěvatelé: | Norwich University, Ipswich Hospital, Istanbul Kemerburgaz University [Istanbul], Istanbul Kemerburgaz University, Yonsei University, University of Bari Aldo Moro (UNIBA), Universidad de los Andes [Bogota] (UNIANDES), Unité d’Otologie, implants auditifs et chirurgie de la base du crâne [CHU Pitié-Salpêtrière], Service d'Oto-Rhino-Laryngologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Fudan University [Shanghai], Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Necker - Enfants Malades [AP-HP], University of Miyazaki |
Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Referral Otology Disease Dizziness 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Internal medicine Vertigo otorhinolaryngologic diseases Humans Medicine [SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs 030223 otorhinolaryngology biology business.industry Cholesteatoma General Medicine Odds ratio biology.organism_classification medicine.disease 3. Good health Otitis Media Otorhinolaryngology Patient-reported outcome measures 030220 oncology & carcinogenesis Chronic Disease Quality of Life [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Neurosurgery business |
Zdroj: | European Archives of Oto-Rhino-Laryngology European Archives of Oto-Rhino-Laryngology, Springer Verlag, In press, ⟨10.1007/s00405-021-06993-1⟩ |
ISSN: | 1434-4726 0937-4477 |
Popis: | Purpose In chronic otitis media (COM), disease chronicity and severity of middle ear inflammation may influence the development of inner ear deficits, increasing the risk of vestibular impairment. This secondary analysis of the multinational collaborative Chronic Otitis Media Questionnaire-12 (COMQ-12) dataset sought to determine the prevalence of vestibular symptoms in patients with COM and identify associated disease-related characteristics. Methods Adult patients with a diagnosis of COM in outpatient settings at nine otology referral centers across eight countries were included. We investigated the presence of vestibular symptoms (dizziness and/or disequilibrium) using participant responses to item 6 of a native version of the COMQ-12. Audiometric data and otoscopic assessment were also recorded. Results This analysis included 477 participants suffering from COM, with 56.2% (n = 268) reporting at least mild inconvenience related to dizziness or disequilibrium. There was a significant association between air conduction thresholds in the worse hearing ear and presence of dizziness [adjusted odds ratio (AOR), 1.01; 95% CI 1.00–1.02; p = 0.0177]. Study participants in European countries (AOR 1.53; 95% CI 1.03–2.28; p = 0.0344) and Colombia (AOR 2.48; 95% CI 1.25–4.92; p = 0.0096) were more likely to report dizziness than participants in Asian countries. However, ear discharge and cholesteatoma showed no association with dizziness in the adjusted analyses. Conclusion Vestibular symptoms contribute to burden of disease in patients with COM and associates with hearing disability in the worse hearing ear. Geographical variation in presentation of dizziness may reflect financial barriers to treatment or cultural differences in how patients reflect on their health state. |
Databáze: | OpenAIRE |
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