Department of Public Health, 37139University of 19 Mayıs, Samsun, Turkey.
Department of Otorhinolaryngology, University of Health Sciences, Samsun, Turkey.
Ear Nose Throat J. 2021 Sep;100(5_suppl):707S-711S. doi: 10.1177/0145561320906330. Epub 2020 Feb 19.
Vertigo and dizziness are the common presenting concerns in emergency departments and outpatient clinics, accounts for approximately 15% to 20% of adults annually. We aimed to evaluate economic burden of vertigo on health-care system and work productivity in association between clinic characteristics of in- or outpatients.
A total number of 2289 patients diagnosed with peripheric (noncentral) vertigo were evaluated retrospectively. The direct medical costs associated with vertigo classified as medication, consumable, imaging, and laboratory. In addition, the indirect costs were associated with lost working days. The overall economic impact of vertigo assessed via total expenditure for diagnosis and treatment.
The mean duration of hospitalization was 5.6 ± 4.3 days and working day lost was 9.47 ± 3.90 days. The overall impact on work productivity of disease was 15.35 ± 6.11 days. The overall mean direct cost including all expenditure items associated with vertigo care was $250.25 ± $1479.62 per patient. The overall cost associated with vertigo was found to be statistically increased in the male, aged ≥65 years, widow or divorced, and hospitalized patients.
Our findings clearly indicate that a vertigo-dizziness management program based on patients' risk factors may achieve to reduce hospitalizations and cost of hospital care as well.
眩晕和头晕是急诊科和门诊常见的就诊主诉，约占成年人每年的 15%至 20%。我们旨在评估眩晕对医疗保健系统的经济负担以及与门诊或住院患者临床特征相关的工作生产力损失。
回顾性评估了 2289 例诊断为周围性（非中枢性）眩晕的患者。将与眩晕相关的直接医疗费用分为药物、耗材、影像学和实验室检查。此外，间接成本与丧失的工作日有关。通过诊断和治疗的总支出评估眩晕的总体经济影响。
平均住院时间为 5.6±4.3 天，工作日损失为 9.47±3.90 天。疾病对工作生产力的总体影响为 15.35±6.11 天。每位患者的所有与眩晕护理相关支出项目的总直接费用平均为 250.25±1479.62 美元。发现与眩晕相关的总费用在男性、年龄≥65 岁、丧偶或离异以及住院患者中呈统计学增加。
我们的研究结果清楚地表明，基于患者风险因素的眩晕-头晕管理方案可能有助于减少住院和住院费用。
