A Logistic regression analysis of short-term residual symptoms after resolution of benign paroxysmal positional vertigo
10.19845/j.cnki.zfysjjbzz.2025.0049
- VernacularTitle:基于Logistic回归分析的良性阵发性位置性眩晕复位后短期残余症状发生的研究
- Author:
Feng LI
1
,
2
;
Tao WANG
1
,
2
;
Zijiao QI
1
,
2
Author Information
1. Otolaryngology Department，Daxing District People&rsquo
2. s Hospital，Beijing 102600，China
- Publication Type:Journal Article
- Keywords:
Benign paroxysmal positional vertigo;
Residual symptom;
Influencing factor;
Logistic regression analysis
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(3):244-248
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate risk factors for short-term residual symptoms after resolution of benign paroxysmal positional vertigo （BPPV） through logistic regression analysis. Methods A total of 110 patients with BPPV in our hospital from July 2020 to January 2023 were enrolled. The patients were grouped according to whether they were cured or had residual symptoms at 8 weeks after repositioning maneuvers. A logistic regression analysis was used to analyze the risk factors for short-term residual symptoms after treatment. Results Forty-nine of the 110 patients had short-term residual symptoms. The univariable logistic regression analyses showed that age， the duration of vertigo before treatment， recurrence， medical history （hypertension， diabetes， and ischemic cerebrovascular disease）， anxiety， depression， sleep quality， and vestibular evoked myogenic potential were risk factors for short-term residual symptoms in patients with BPPV. The multivariable logistic regression analysis revealed that age （OR=0.942，95%CI 0.913-0.972，P<0.001）， the duration of vertigo before treatment（OR=0.333，95%CI 1.015~1.019，P=0.002），recurrence（OR=0.777，95%CI 0.726-0.832，P<0.001）， a history of hypertension（OR=0.682，95%CI 0.624-0.745，P<0.001）， a history of diabetes（OR=0.854，95%CI 0.791-0.922，P<0.001），a history of ischemic cerebrovascular disease（OR=0.876，95%CI 0.806-0.953，P=0.002）， anxiety（OR=1.158，95%CI 1.046-1.283，P=0.005），depression（OR=1.178，95%CI 1.033-1.344，P=0.014），sleep quality（OR=1.164，95%CI 1.009-1.343，P=0.037）， and vestibular evoked myogenic potential（OR=1.196，95%CI 1.068-1.340，P=0.002） were independent risk factors for short-term residual symptoms in patients with BPPV. Conclusion Patients with BPPV are more likely to have short-term residual symptoms if they have a history of hypertension， diabetes， or cerebrovascular diseases， advanced age， a long duration of vertigo before treatment， and the presence of emotional disorders （anxiety， depression， sleep deficiency， vestibular evoked myogenic potential abnormalities）.
- Full text:2025071609581425017基于Logistic回归分析的良性阵发性位置性眩晕复位后短期残余症状发生的研究.pdf
