Etiological factor distribution in elderly outpatients with vertigo/dizziness
10.3760/cma.j.issn.0254-9026.2018.06.010
- VernacularTitle:眩晕专病门诊就诊老年患者病因分析
- Author:
Guowang ZHAO
1
;
Chen HOU
;
Zhiqiang BAI
;
Peng TANG
;
Li CHEN
;
Lina ZHANG
;
Chaochao GU
;
Yue LIU
;
Xin ZHANG
;
Peng LIU
;
Li CHONG
;
Rui LI
Author Information
1. 陕西中医药大学第一临床医学院
- Keywords:
Vertigo;
Dizziness;
Etiological factor
- From:
Chinese Journal of Geriatrics
2018;37(6):650-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify the distribution of etiological factors in elderly versus non-elderly outpatients with vertigo/dizziness for optimizing the diagnosis and therapy. Methods We retrospectively analyzed data of outpatients with vertigo/dizziness in Shaanxi Provincial People's Hospital from April 2015 to April 2017 and conducted diagnoses in accordance with the currently wide-accepted diagnostic criteria. Results A total of 3 356 patients with chief complains of vertigo/dizziness were recruited ,and their top seven etiological factors were benign paroxysmal positional vertigo (n= 1 320 ,39.3%) ,chronic subjective dizziness(n=680 ,20.3%) ,vestibular migraine(n=386 ,11.5%) ,posterior circulation ischemia (n=213 ,6.4%) ,Meniere's disease (n = 138 ,4.1%) ,vestibular neuritis (n= 121 ,3.6%) ,and vestibular paroxysmia(n=76 ,2.3%). The top four etiological factors for the elderly patients (n=1 255)were benign paroxysmal positional vertigo (n= 498 ,39.7%) ,chronic subjective dizziness (n= 279 ,22.2%) ,posterior circulation ischemia(n=161 ,12.8%) ,and vestibular migraine(n=73 ,5.8%) ;while the top four etiological factors for non-elderly patients (n= 2 101)were benign paroxysmal positional vertigo (n= 822 ,39.1%) , chronic subjective dizziness(n=401 ,19.1%) ,vestibular migraine(n=313 ,14.9%) ,and vestibular neuritis(n=105 ,5.0%). The detection rate in elderly patients versus non-elderly patients was significantly higher in chronic subjective dizziness (22.2% vs.19.1%,P= 0.032 )and in posterior circulation ischemia (12.8%vs.2.5%,P=0.000) ,and was significantly lower in vestibular neuritis (1.3% vs.5.0%,P= 0.000 ) ,in vestibular migraine(5.8% vs.19.4%,P = 0.000)and in other causes (1.0% vs.2.7%,P = 0.002) . Conclusions The ratio of posterior circulation ischemia is markedly higher in elderly outpatients than in non-elderly outpatients ,whereas the ratios of vestibular migraine and vestibular neuritis in elderly patients are lower than in non-elderly outpatients.