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25-01-2023

Impact of episodic and chronic vestibular disorders on health-related quality of life and functioning—results from the DizzyReg patient registry

Auteurs: Ralf Strobl, Saly Harajli, Doreen Huppert, Andreas Zwergal, Eva Grill

Gepubliceerd in: Quality of Life Research

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Abstract

Purpose

Vertigo and dizziness belong to the most frequent syndromes in the primary, secondary and tertiary setting and can be divided into vertigo with episodic or chronic persistent complaints. Episodic vertigo (EVS) is characterized by recurrent attacks of vertigo or dizziness with intermittent symptom-free periods, while chronic vertigo (CVS) presents with persistent vertigo. It is still not completely understood how EVS or CVS affect health-related quality of life (HRQoL) and functioning.

Methods

Data originates from the DizzyReg patient registry, an ongoing prospective clinical patient registry situated at tertiary clinic at the university hospital, Munich. HRQoL and functioning was measured by self-report. CVS and EVS was categorized after comprehensive neuro-otological work-up in line with the diagnostic guidelines. Association of CVS and EVS was assessed with multivariable linear regression models adjusting for potential risk factors and confounders.

Results

The study included 548 patients (57% female, mean age 51.35). Patients with EVS were significantly younger (48.5 vs. 59.6 years) and were more often female (60 vs. 49%). EVS patients reported significantly better functioning (42.1 vs. 47.8) and HRQoL (63.87 vs. 58.08) than CVS patients. The effect was stable after adjusting for potential confounders.

Conclusion

This is the first study to show worse HRQoL in patients with CVS compared to EVS. The results of the study underpin the experience from clinical practice that mobility and balance control are especially important for patients with CVS.
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Metagegevens
Titel
Impact of episodic and chronic vestibular disorders on health-related quality of life and functioning—results from the DizzyReg patient registry
Auteurs
Ralf Strobl
Saly Harajli
Doreen Huppert
Andreas Zwergal
Eva Grill
Publicatiedatum
25-01-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03345-w