A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo

A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo

Author De Stefano, Alessandro Google Scholar
Dispenza, Francesco Google Scholar
Suarez, Hamlet Google Scholar
Perez-Fernandez, Nicolas Google Scholar
Manrique-Huarte, Raquel Google Scholar
Ban, Jae Ho Google Scholar
Kim, Min Beom Google Scholar
Strupp, Michael Google Scholar
Feil, Katharina Google Scholar
Oliveira, Carlos A. Google Scholar
Sampaio, Andres L. Google Scholar
Araujo, Mercedes F. S. Google Scholar
Bahmad, Fayez Google Scholar
Gananca, Mauricio M. Autor UNIFESP Google Scholar
Gananca, Fernando F. Autor UNIFESP Google Scholar
Dorigueto, Ricardo Autor UNIFESP Google Scholar
Lee, Hyung Google Scholar
Kulamarva, Gautham Google Scholar
Mathur, Navneet Google Scholar
Di Giovanni, Pamela Google Scholar
Petrucci, Anna Grazia Google Scholar
Staniscia, Tommaso Google Scholar
Citraro, Leonardo Google Scholar
Croce, Adelchi Google Scholar
Institution G dAnnunzio Univ Chieti Pescara
Univ Palermo
British Hosp Montevideo
Univ Navarra
SKKU Univ Seoul
Univ Munich
Universidade de Brasília (UnB)
Universidade Federal de São Paulo (UNIFESP)
Keimyung Univ
KIMS Hosp Kasaragod
RNT Med Coll Udaipur
Abstract Objective: Primary objective of this study was to find a statistical link between the most worldwide comorbidities affecting the elderly population (hypertension, diabetes, osteoarthrosis, osteoporosis and depression) and recurrent episodes of BPPV. Secondary objective was defining possible groups of risk for people suffering recurrent positional vertigo related to the presence of a well documented comorbidity.Methods: This was an observational, cross-sectional, multicenter, spontaneous, non-pharmacological study. the data of 1092 patients suffering BPPV evaluated in 11 different Departments of Otolaryngology, Otoneurology and Neurology, referring Centers for positional vertigo evaluation, were retrospectively-collected.Results: Regarding evaluated comorbidities (hypertension, diabetes, osteoarthrosis, osteoporosis and depression), data analysis showed the presence of at least one comorbid disorder in 216 subjects (19.8%) and 2 or more in 408 subjects (37.4%). Moreover there was a statistical significant difference between the number of comorbidities and the number of recurrences, otherwise said as comorbidity disorders increased the number of relapses increased too.Conclusion: the presence of a systemic disease may worsen the status of the posterior labyrinth causing a more frequent otolith detachment. This condition increases the risk for patients suffering BPPV to have recurrent episodes, even if correctly managed by repositioning maneuvers. the combination of two or more of aforementioned comorbidities further increases the risk of relapsing BPPV, worsened by the presence of osteoporosis. On the basis of this results it was possible to define groups of risk useful for predicting BPPV recurrence in patients with one or more comorbidity. (C) 2013 Published by Elsevier Ireland Ltd.
Keywords BPPV
Vertigo
Hypertension
Diabetes
Osteoarthrosis
Osteoporosis
Otolaryngology
Comorbidity
Neurology
Elderly
Language English
Date 2014-02-01
Published in Auris Nasus Larynx. Oxford: Elsevier B.V., v. 41, n. 1, p. 31-36, 2014.
ISSN 0385-8146 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 31-36
Origin http://dx.doi.org/10.1016/j.anl.2013.07.007
Access rights Closed access
Type Article
Web of Science ID WOS:000331426900007
URI http://repositorio.unifesp.br/handle/11600/37371

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