| Analysis of influence factors of short-term residual dizziness after successful repositioning treatment in patients with benign paroxysmal positional vertigo |
| Received:February 02, 2020 Revised:February 17, 2020 Click here to download the full text |
| Citation of this paper:JIANG Chun-yan,ZHAO Ying,WANG Lu,SHU Liang,WU Jing,SUN Xu-hong,PAN Hui,DONG You-rong,CHEN Wei,LIU Jian-ren.Analysis of influence factors of short-term residual dizziness after successful repositioning treatment in patients with benign paroxysmal positional vertigo[J].Chinese Journal of Clinical Medicine,2020,27(3):392-396 |
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| Author Name | Affiliation | E-mail | | JIANG Chun-yan | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
Department of Neurology, Huangpu Branch, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | ZHAO Ying | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | WANG Lu | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
Department of Neurology, Huangpu Branch, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | SHU Liang | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | WU Jing | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | SUN Xu-hong | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | PAN Hui | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | | | DONG You-rong | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | dongyourong@126.com | | CHEN Wei | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | david_chen8106@hotmail.com | | LIU Jian-ren | Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China | |
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| Abstract:Objective: To investigate the occurrence and risk factors of residual dizziness (RD) in patients with benign paroxysmal positional vertigo (BPPV) 1 week after successful canalith repositioning procedure (CRP).Methods: Totally, 223 patients with BPPV who received successful CRP in the first visit in Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from June 2018 to June 2019 were followed up for 1 week. At the first diagnosis (W0) and one week (W1), vertigo/dizziness visual analogue scale (VAS) and dizziness handicap inventory (DHI) were evaluated, and GAD-7, PHQ-9, HAMA, and HAMD-17 were evaluated at W0. RD was defined as the dizziness VAS score >1 at W1. The baseline (W0) demographic and related clinical differences between patients with and without RD groups were compared, and the influencing factors of patients' short-term quality of life were investigated.Results: The incidence of RD was 50.67% (113/223) in BPPV patients one week (W1) after successful CRP. Compared with RD negative group, patients with RD positive group had a higher dizziness handicap inventory (DHI) score at W0 (P=0.009), among which functional score (DHI-F)([17.38±8.67] vs[14.91±9.39], P=0.044) and emotional score (DHI-E)(4[2,11.5] vs 4[0,8], P=0.013) were significantly increased. There was no significant difference in age, gender, vertigo duration, involved semicircular canal, anxiety and depression scores between the two groups. Binary logistic regression analysis found that the DHI score >30 (OR=2.149, 95%CI 1.257-3.673, P=0.005) at W0 was an independent predictor of RD in patients with BPPV at 1 week. Stepwise linear regression showed that RD was the main factor influencing the quality of life in patients with BPPV 1 week after successful CRP (95% CI 10.346-16.661, P<0.001).Conclusions: Nearly half of BPPV patients has RD 1 week after successful CRP. The DHI score >30 at the first diagnosis might increase the risk of short-term RD. |
| keywords:benign paroxysmal positional vertigo residual dizziness dizziness handicap inventory |
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