Diagnosehäufigkeiten und Verordnungen bei Schwindel im Patientenkollektiv einer hausärztlichen Routinedatenbank

Kruschinski, Carsten; Kersting, M.; Breull, A.; Kochen, Michael M.; Koschack, Janka; Hummers-Pradier, Eva

doi:10.1016/j.zefq.2008.05.001

Cited by 44 publications

(15 citation statements)

References 16 publications

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“…This may be due to the studied population, because Sloane et al included patients of family physicians, general practitioners, general internists, and general paediatricians. Kruschinski et al also reported a lower prevalence[26]. However, this may be due to the younger age of their study population (mean age 59 years), a different classification system (ICD-10 vs. ICPC), and a different method of data retrieval.…”

Section: Discussionmentioning

confidence: 94%

Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics

et al. 2010

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BackgroundAlthough dizziness in elderly patients is very common in family practice, most prevalence studies on dizziness are community-based and include a study population that is not representative of family practice. The aim of this study was to investigate the prevalence and incidence of dizziness reported by elderly patients in family practice, to describe their final diagnoses as recorded by the family physician, and to compare the clinical characteristics of dizzy patients with those of non-dizzy patients.MethodsData were obtained from the Second Dutch National Survey of General Practice, a prospective registration study which took place over a 12-month period in 2001. We developed a search strategy consisting of 15 truncated search terms (based on Dutch synonyms for dizziness), and identified all patients aged 65 or older who visited their family physician because of dizziness (N = 3,990). We used the mid-time population as denominator to calculate the prevalence and incidence, and for group comparisons we used the Student's t and Chi-square test, and logistic regression analysis.ResultsThe one-year prevalence of dizziness in family practice in patients aged 65 or older was 8.3%, it was higher in women than in men, and it increased with age. In patients aged 85 or older the prevalence was similar for men and women. The incidence of dizziness was 47.1 per 1000 person-years. For 39% of the dizzy patients the family physicians did not specify a diagnosis, and recorded a symptom diagnosis as the final diagnosis. Living alone, lower level of education, pre-existing cerebrovascular disease, and pre-existing hypertension were independently associated with dizziness.ConclusionsDizziness in family practice patients increases with age. It is more common in women than in men, but this gender difference disappears in the very old. Because a large proportion of dizzy elderly patients in family practice remains undiagnosed, it would be worthwhile to carry out more diagnostic research on dizziness in a family practice setting.

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Section: Discussionmentioning

confidence: 94%

Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics

et al. 2010

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“…Only 3.9% of dizziness/ vertigo patients were referred to specialists. 19 Claims that dizziness/vertigo is a nonspecific symptom in a high proportion of patients, especially in old age, have been convincingly contradicted, for example, by a recent study showing that out of 3400 patients over 70 years of age an accurate diagnosis was possible in more than 75%. In these elderly patients, dizziness often had a multifactorial etiology and caused age-specific impairment, but dizziness caused by age per se was not found.…”

Section: Personal and Occupational Impact Of Vertigomentioning

confidence: 99%

Vertigo: Epidemiologic Aspects

2009

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Vertigo is a frequent symptom in the general population with a 12-month prevalence of 5% and an incidence of 1.4% in adults. Its prevalence rises with age and is about two to three times higher in women than in men. The epidemiology of vertigo and underlying specific vestibular disorders is still an underdeveloped field despite its usefulness for clinical decision making and its potential for improving patient care. In this article, the authors give an overview on the epidemiology of vertigo as a symptom and of four specific vestibular disorders: benign paroxysmal positional vertigo (BPPV), vestibular migraine, Ménière's disease, and vestibular neuritis.

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“…Die inhaltliche Beantwortung medizinisch-wissenschaftlicher Fragestellungen ist nicht Teil dieses Artikels. Dazu fi nden sich motivierende Themen und Ziele in Arbeiten, die auf dem hier vorgestellten Verfahren aufbauen, etwa zu Hausbesuchen [12] , Schwindel [13] by matching the entries to the master data from the Scientifi c Institute of Local Health-Care Funds ( " Wissenschaftliches Instituts der Ortskrankenkassen " -WIdO). Periodically consistent sets of SPSS fi les could successfully be created for further research and feedback reports for the participating practices were generated as portable document format (PDF) fi les.…”

Section: Ziele ▼unclassified

Routinedaten aus hausärztlichen Arztinformationssystemen – Export, Analyse und Aufbereitung für die Versorgungsforschung

Kersting

Gierschmann²,

Hauswaldt³

et al. 2010

Gesundheitswesen

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An advanced and integrative information technology (IT)-landscape is needed for optimal support of future processes in health-care, including health services research. Most researches in the primary care sector are based on data collected for reimbursement. The aim of this study is to show the limits and options of secondary analysis based on data that was exported via the "Behandlungsdatentransfer" (treatment data transport) BDT-interface in the software systems of German general practitioners and afterwards prepared for further research in SPSS. From the middle of 2005 to the end of 2007 all 168 teaching practices of the Hannover Medical School (MHH) were invited to join the study. Finally routine data from 28 practices could be collected successfully. The data from 139 other practices which had been collected for the project "Health Care in Practice" ("Medizinische Versorgung in der Praxis" - MedViP) was also added to the pool. The process of data preparation included a complete cycle from data collection, merging the data in a relational database system, via statistics and analysis to publishing and generating a feedback report for the participating practices. During the whole study the limits and options of this method were systematically identified. Of the 168 practices, 68 (40.5%) were interested to participate. From 28 (16.7%) physicians the data could be exported from their software systems. In 15 (8.9%) cases no collection was possible due to technical and in 26 (15.5%) to administrative reasons. The method of data extraction varied, as the BDT-interface was differently implemented by the software companies. Together with the MedViP data, the database at the MHH now consists of 167 practices with 974 304 patients and 12 555 943 treatments. For 44.1% of the 11 497 899 prescription entries an anatomic therapeutic chemical (ATC) code could be applied, by matching the entries to the master data from the Scientific Institute of Local Health-Care Funds ("Wissenschaftliches Instituts der Ortskrankenkassen" - WIdO). Periodically consistent sets of SPSS files could successfully be created for further research and feedback reports for the participating practices were generated as portable document format (PDF) files. The BDT-interface seems quite out of date, but can still reveal interesting information, especially on data about medical treatments and findings. Much of the data is contained in fields based on free text, which makes analysis difficult. Coded information, like agents, as ATC, could partially be extracted from the data, which afterwards was easy to prepare for further research. Quality and content of the data depend mainly on the data enterer, the physicians and their practice staff. Future research could be improved by more classified and coded data, which would better be transported through an interface more advanced than BDT.

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Diagnosehäufigkeiten und Verordnungen bei Schwindel im Patientenkollektiv einer hausärztlichen Routinedatenbank

Cited by 44 publications

References 16 publications

Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics

Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics

Vertigo: Epidemiologic Aspects

Routinedaten aus hausärztlichen Arztinformationssystemen – Export, Analyse und Aufbereitung für die Versorgungsforschung

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