Rosa Tábada Samantha Marques, Moraes Anaelena Bragança de, Santos Filha Valdete Alves Valentins dos
Postgraduate Program in Human Communication Disorders (PPGDCH), Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
Department of Statistics, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil; Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Braz J Otorhinolaryngol. 2016 Mar-Apr;82(2):159-69. doi: 10.1016/j.bjorl.2014.12.014. Epub 2015 Dec 11.
Dizziness is among the most common complaints in the elderly population.
To determine the sociodemographic and clinical-functional profiles of institutionalized elderly people related to dizziness.
Cross-sectional prospective study with institutionalized elderly people aged 60 or more years. A questionnaire on sociodemographic and clinical-functional characteristics was applied, and an anamnesis of occurrence of dizziness was held, as well as the Dizziness Handicap Inventory questionnaire.
48.9% of the elderly subjects had dizziness. The mean numbers of diseases and medications associated with dizziness were, respectively, 4.5 diseases and 7.8 medications. We found a significant association between the occurrence of dizziness and diseases of the musculoskeletal system, sub-connective tissue and genitourinary system, as well as the use of medications for the musculoskeletal system. The scores for handicap degree in functional DHI were significantly higher among elderly subjects who needed walking aids, who had suffered falls, and those manifesting anxiety.
Our sample included subjects of advanced age, primarily women, who were institutionalized less than five years, with multiple diseases and polypharmacy users. They presented long-standing short-duration mixed dizziness, that occurred more than once a month and affected mainly the functional aspect.
头晕是老年人群中最常见的主诉之一。
确定与头晕相关的机构养老老年人的社会人口学和临床功能特征。
对60岁及以上的机构养老老年人进行横断面前瞻性研究。应用了一份关于社会人口学和临床功能特征的问卷，进行了头晕发生情况的问诊，以及眩晕障碍量表问卷。
48.9%的老年受试者有头晕症状。与头晕相关的疾病和药物的平均数量分别为4.5种疾病和7.8种药物。我们发现头晕的发生与肌肉骨骼系统、结缔组织和泌尿生殖系统疾病以及肌肉骨骼系统药物的使用之间存在显著关联。在需要助行器、曾跌倒以及表现出焦虑的老年受试者中，功能性眩晕障碍量表的残疾程度得分显著更高。
我们的样本包括高龄受试者，主要为女性，入住机构不到五年，患有多种疾病且使用多种药物。他们表现为长期的短期混合性头晕，每月发作不止一次，主要影响功能方面。
