Department of General Practice and Elderly Care Medicine, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Department of General Practice and Elderly Care Medicine, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
J Am Med Dir Assoc. 2020 Mar;21(3):338-343.e1. doi: 10.1016/j.jamda.2019.09.008. Epub 2019 Oct 28.
The prevalence of different geriatric syndromes in older home care (HC) recipients is yet to be determined. Dizziness is often regarded as a geriatric syndrome. The natural course of dizziness in older people is still unknown, because of a lack of longitudinal studies. The objective of this study was to investigate the prevalence and persistence of dizziness in HC recipients.
Prospective cohort study.
Home care organizations in 6 European countries participating in the EU-funded Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project.
2616 community-dwelling long-term HC recipients aged 65 years or older.
Data were collected at baseline and 6 and 12 months by using the interRAI Home Care instrument (interRAI-HC). Dizziness status was assessed by the number of days people experienced dizziness in the last 3 days (0-3) and later dichotomized for analyses (present or not in the last 3 days). Dizziness persistence was defined as the odds for dizzy people at baseline to also report dizziness at subsequent follow-up moments, compared with people who were not dizzy at baseline. The pattern of dizziness was descriptively analyzed in recipients who completed all measurements. Generalized estimating equations analysis was used to determine the persistence of dizziness symptoms.
The prevalence of dizziness of 2616 eligible HC recipients at baseline was 25.1%, ranging from 16.2% (Belgium) to 39.7% (Italy). The majority of dizzy recipients at baseline also experienced dizziness after 6 and 12 months (79.1%). Dizziness persistence was high at 6 months [odds ratio (OR) 57.8, 95% confidence interval (CI) 43.1-77.5] and at 12 months (OR 30.2, 95% CI 22.3-41.1).
Dizziness in older HC recipients in Europe is common, and dizziness persistence is high. This warrants a more active approach in treating dizziness in older HC recipients.
不同老年综合病症在长期居家护理（HC）接受者中的流行情况尚不清楚。头晕常被视为一种老年综合病症。由于缺乏纵向研究，老年人头晕的自然病程仍不清楚。本研究旨在调查 HC 接受者头晕的患病率和持续性。
前瞻性队列研究。
参与欧盟资助的通过基准测试确定社区护理成本和结果来识别依赖护理的老年人最佳实践（IBenC）项目的 6 个欧洲国家的 HC 组织。
2616 名 65 岁或以上居住在社区的长期 HC 接受者。
通过使用 interRAI 居家护理工具（interRAI-HC）在基线和 6 个月及 12 个月时收集数据。通过人们在过去 3 天内经历头晕的天数（0-3）评估头晕状况，之后进行二分分析（过去 3 天内是否有头晕）。头晕持续性定义为基线时头晕者与基线时不头晕者相比，在后续随访时报告头晕的几率。对完成所有测量的接受者进行头晕模式的描述性分析。使用广义估计方程分析确定头晕症状的持续性。
2616 名符合条件的 HC 接受者中，基线时头晕的患病率为 25.1%，范围为 16.2%（比利时）至 39.7%（意大利）。大多数基线时头晕的接受者在 6 个月和 12 个月后也有头晕（79.1%）。6 个月时头晕持续性较高[优势比（OR）57.8，95%置信区间（CI）43.1-77.5]，12 个月时头晕持续性较高[OR 30.2，95% CI 22.3-41.1]。
欧洲老年 HC 接受者中头晕很常见，且头晕持续性较高。这需要在治疗老年 HC 接受者头晕时采取更积极的方法。
