Prell Tino, Wassermann Alexander, Zipprich Hannah M, Finn Sigrid, Axer Hubertus
Department of Geriatrics, Halle University Hospital, Halle, Germany.
Center for Healthy Ageing, Jena University Hospital, Jena, Germany.
Front Neurol. 2021 Dec 17;12:801499. doi: 10.3389/fneur.2021.801499. eCollection 2021.
A cross-sectional observational study was designed to determine the impact of dizziness associated symptoms on the dizziness handicap inventory (DHI) in older adults (≥60 years). In total, 785 individuals referred to a multidisciplinary dizziness unit were assessed. Participants completed self-report questionnaires with general questions about symptoms of dizziness as well as the DHI. The DHI subscores (physical, functional, emotional) were calculated. Medical diagnoses were collected from the medical records of the patients. One-way MANOVA and networking analysis were used to analyze the impact of dizziness associated symptoms on dizziness handicap. Most patients reported swaying dizziness (60.6%) and feeling of unsteadiness (59.8%) with substantial overlap between the types of dizziness. Most frequent dizziness associated symptoms were ear noise/tinnitus, visual problems, and nausea/vomiting. Network analysis revealed that visual disturbances, headache, and hearing impairment were associated with higher DHI and explained 12% of the DHI variance in the linear regression. In the one-way MANOVA visual problems and headache had an effect on all three DHI subscores, while hearing impairment was associated with the functional and emotional subscores of DHI. Distinct dizziness associated symptoms have substantial impact on dizziness handicap in older adults. A multifactorial assessment including these symptoms may assist in tailoring therapies to alleviate dizziness handicap in this group.
一项横断面观察性研究旨在确定头晕相关症状对老年人（≥60岁）头晕残障量表（DHI）的影响。总共对785名转诊至多学科头晕诊疗单元的个体进行了评估。参与者完成了关于头晕症状的一般问题以及DHI的自我报告问卷。计算了DHI子分数（身体、功能、情感）。从患者的病历中收集医学诊断信息。采用单因素多变量方差分析和网络分析来分析头晕相关症状对头晕残障的影响。大多数患者报告有摇摆性头晕（60.6%）和不稳定感（59.8%），不同类型的头晕之间有大量重叠。最常见的头晕相关症状是耳部噪音/耳鸣、视觉问题以及恶心/呕吐。网络分析显示，视觉障碍、头痛和听力障碍与较高的DHI相关，并且在线性回归中解释了DHI方差的12%。在单因素多变量方差分析中，视觉问题和头痛对所有三个DHI子分数都有影响，而听力障碍与DHI的功能和情感子分数相关。不同的头晕相关症状对老年人的头晕残障有重大影响。包括这些症状在内的多因素评估可能有助于制定针对性的治疗方案，以减轻该群体的头晕残障。
