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Quality of Life Research

Erschienen in:

01.08.2012

Dizziness impairs health-related quality of life

verfasst von: M. Ten Voorde, H. J. van der Zaag-Loonen, R. B. van Leeuwen

Erschienen in: Quality of Life Research | Ausgabe 6/2012

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Abstract

Purpose

Relatively little is known about the level of impairment in patients with dizziness.

Research question

How much does dizziness impair the quality of life of patients referred to a multidisciplinary dizziness unit?

Patients and methods

All 2,252 patients completed the Dutch version of the Dizziness Handicap Inventory (DHI-D; score 0–100 with higher scores representing more impairment). The results were classified into three categories: mild, moderate, and severe impairment. The three domains in the DHI representing physical, functional, and emotional aspects of dizziness were compared, as well as DHI scores of men versus women, between diagnoses, and the relationship between DHI and age.

Results

A total of 2,242 patients (64% women, mean age 54 years) completed the DHI with a mean score of 40.6. Almost 70% of patients had moderate or severe complaints. The handicap perceived by patients was primarily caused by physical and functional factors and less by emotional factors. Female patients and patients with hyperventilation syndrome and/or anxiety disorder had significantly higher DHI scores on all subscales. There was an S-shaped relationship between DHI score and age, and older patients reported more impairment.

Conclusion

Dizziness has considerable impact on health-related quality of life of dizzy patients.

Van der Linden, M. W., Westert, G. P., De Bakker D. H., & Schellevis, F. G. (2004). Tweede Nationale Studie naar ziekten en verrichtingen in de huisartspraktijk. Klachten en aandoeningen in de bevolking en in de huisartspraktijk. Utrecht/Bilthoven: NIVEL/RIVM.

Neuhauser, H. K., & Lempert, T. (2009). Vertigo: Epidemiologic aspects. Seminars in Neurology, 29(5), 473–481.PubMedCrossRef

Neuhauser, H., Radtke, A., Von Brevern, M., Lezius, F., Feldmann, M., & Lempert, T. (2008). Burden of dizziness and vertigo in the community. Archives of Internal Medicine, 168, 2118–2124.PubMedCrossRef

Jacobson, G. P., & Newman, C. W. (1990). The development of the Dizziness Handicap Inventory. Archives of Otolaryngology: Head and Neck Surgery, 116, 424–427.CrossRef

Whitney, S. L., Wrisley, D. M., Brown, K. E., & Furman, J. M. (2004). Is perception of handicap related to functional performance in persons with vestibular dysfunction? Otology and Neurotology, 25(2), 139–143.PubMedCrossRef

Tamber, A. L., Wilhelmsen, K. T., & Strand, L. I. (2009). Measurement properties of the Dizziness Handicap Inventory by cross-sectional and longitudinal designs. Health and Quality of Life Outcomes, 7, 101.PubMedCrossRef

Vereeck, L., Truijen, S., Wuyts, F., & Van de Heyning, P. (2006). Test-retest reliability of the Dutch version of the Dizziness Handicap Inventory. B-ENT, 2, 75–80.PubMed

Humphriss, R. L., Bagyley, D. M., Anderson, G., & Wagstaff, S. (2004). Hyperventilation in the vestibular clinic: Use of Nijmegen questionnaire. Clinical Otolaryngology, 29, 232–237.PubMedCrossRef

Lempert, T., Gresty, M. A., & Bronstein, A. M. (1995). Benign positional vertigo: Recognition and treatment. BMJ, 311, 489–491.PubMedCrossRef

10.

Committee on Hearing and Equilibrium. (1995). Guidelines for the diagnosis and evaluation of therapy in Ménière’s disease. Otolaryngology: Head and Neck Surgery, 113, 181–184.CrossRef

11.

Leliever, W. C., & Barber, H. O. (1981). Recurrent Vestibulopathy. Laryngoscope, 91, 1–6.PubMedCrossRef

12.

Cutrer, H. F., & Baloh, R. W. (1992). Migraine-associated Dizziness. Headache, 32, 300–304.PubMedCrossRef

13.

Baloh, R. W. (2003). Vestibular neuritis. New England Journal of Medicine, 13, 1027–1032.CrossRef

14.

The Consensus Committee of the American Autonomic Society, the American Academy of Neurology. (1996). Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, multiple system atrophy. Neurology, 46:1470.

15.

Gill-Body, K. M., Beninato, M., & Krebs, D. E. (2000). Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction. Physical Therapy, 80(8), 748–758.PubMed

16.

Pérez, N., Martin, E., & Garcia-Tapia, R. (2003). Dizziness: Relating the severity of vertigo to the degree of handicap by measuring vestibular impairment. Otolaryngology: Head and Neck Surgery, 128(3), 372–381.CrossRef

17.

Lin, S. I., Tsai, T. T., Lee, I. H., & Wu, Y. N. (2002). Perception of unsteadiness in patients with dizziness: Association with handicap and imbalance. Journal of Biomedical Science, 9(5), 428–435.PubMedCrossRef

18.

Vereeck, L., Truijen, S., Wuyts, F. L., & Van de Heyning, P. H. (2007). The dizziness handicap inventory and its relationship with functional balance performance. Otology and Neurotology, 28(1), 87–93.PubMedCrossRef

19.

Loughran, S., Gatehouse, S., Kishore, A., & Swan, I. R. (2006). Does patient-perceived handicap correspond to the modified clinical test for the sensory interaction on balance? Otology and Neurotology, 27(1), 86–91.PubMedCrossRef

20.

Handa, P. R., Kuhn, A. M., Cunha, F., Schaffleln, R., & Ganança, F. F. (2005). Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière’s disease. Brazilian Journal of Otorhinolaryngology, 71(6), 776–782.PubMed

21.

Enloe, L. J., & Shields, R. K. (1997). Evaluation of health-related quality of life in individuals with vestibular disease using disease-specific and general outcome measures. Physical Therapy, 77(9), 890–903.PubMed

22.

Hansson, E. E., Månsson, N. O., & Håkansson, A. (2005). Balance performance and self-perceived handicap among dizzy patients in primary health care. Scandinavian Journal of Primary Health Care, 23(4), 215–220.PubMedCrossRef

23.

Lopez-Escamez, J. A., Gamiz, M. J., Fernandez-Perez, A., Gomez-Fiñana, M., & Sanchez-Canet, I. (2003). Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo. Otology and Neurotology, 24(4), 637–641.PubMedCrossRef

24.

Titel: Dizziness impairs health-related quality of life
verfasst von: M. Ten Voorde
H. J. van der Zaag-Loonen
R. B. van Leeuwen
Publikationsdatum: 01.08.2012
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 6/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-0001-x

Springer Medizin

Abstract

Purpose

Research question

Patients and methods

Results

Conclusion

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