The Prevalence and Characteristics of Dizziness in an Elderly Community

Colledge, N.R.; Wilson, Janet A.; MacIntyre, Cecilia; MacLennan, W. J.

doi:10.1093/ageing/23.2.117

Cited by 177 publications

(119 citation statements)

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“…Dizziness was slightly more common among women, a finding consistent with those from other population-based studies [2, 3, 18]. Furthermore, women received medical diagnoses less often than men.…”

Section: Discussionsupporting

confidence: 89%

Dizziness and the Acute Vestibular Syndrome at the Emergency Department: A Population-Based Descriptive Study

Ljunggren¹,

Persson²,

Salzer³

2017

Eur Neurol

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Background: Dizziness is a common occurrence witnessed at emergency departments (EDs). This study aims to describe the epidemiology and management of dizzy patients with and without an acute vestibular syndrome (AVS) in the ED at Umeå University Hospital. Methods: A total of n = 2,126 ED dizziness visits during 3 years were identified. Data were obtained through retrospective review of medical records. Cases were stratified based on presentation, including AVS and neurological deficits. The outcomes analyzed included cerebrovascular causes of dizziness. A Poisson distribution was assumed when calculating incidence CIs. Results: Dizziness accounted for 2.1% of all ED visits, incidence 477/100,000 inhabitants (95% CI 457–498). Among dizzy patients, 19.2% had an AVS, incidence 92/100,000 inhabitants (95% CI 74–113). Top medical diagnostic groups were otovestibular (15.1%), cardiovascular (8.7%) and neurological diseases (7.7%), including stroke and transitory ischemic attack (4.8%). Cerebrovascular causes of dizziness were more common among those with an AVS (10.0%) vs. those without (3.6%), p < 0.01. Conclusion: The risk for cerebrovascular causes of dizziness, although low in an unselected cohort, increases with the presence of neurological signs and an AVS. These population-based data may be useful when planning and implementing dizziness and AVS management algorithms at EDs.

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Section: Discussionsupporting

confidence: 89%

Dizziness and the Acute Vestibular Syndrome at the Emergency Department: A Population-Based Descriptive Study

Ljunggren¹,

Persson²,

Salzer³

2017

Eur Neurol

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“…There was a higher prevalence of self-reported previous stroke or TIA in the group with substantial dizziness. Colledge et al [15] and Stevens et al [1] did not find an association between dizziness and either diabetes or stroke, which may be due to a different selection of subjects and different definition of dizziness.…”

Section: Discussionmentioning

confidence: 99%

“…Associations between dizziness and some other factors like falls, fear of falling, diseases, and drugs have been found in previous studies [1, 7, 15–18]. In most previous research about the prevalence of dizziness and how it relates to other health factors, dizziness has been studied as a dichotomous variable, dizzy or not.…”

Section: Introductionmentioning

confidence: 98%

Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study

2016

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Background: Dizziness is highly prevalent among older people and associated with many health factors. The aim of the study was to determine the prevalence of and factors related to dizziness among community-dwelling older adults in Sweden. In contrast to previous studies, the subjects with dizziness were divided into two groups, mild and substantial dizziness, according to the frequency and intensity of dizziness. Methods: A sample of 305 older persons between 75 and 90 years of age (mean age 81 years) were interviewed and examined. Subjects with dizziness answered the University of California Los Angeles Dizziness Questionnaire and questions about provoking movements. The groups with substantial, mild, or no dizziness were compared with regard to age, sex, diseases, drugs, blood pressure, physical activity, exercises, falls, fear of falling, quality of life, general health, mobility aids, and physical performance. Results: In this sample, 79 subjects experienced substantial and 46 mild dizziness. Subjects with substantial dizziness were less physically active, reported more fear of falling, falls, depression/anxiety, diabetes, stroke/TIA, heart disease, a higher total number of drugs and antihypertensive drugs, lower quality of life and general health, and performed worse physically. Conclusions: There are many and complex associations between dizziness and factors like falls, diseases, drugs, physical performance, and activity. For most of these factors, the associations are stronger in subjects with substantial dizziness compared with subjects with mild or no dizziness; therefore, it is relevant to differ between mild and substantial dizziness symptoms in research and clinical practice in the future.

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“…Imbalance affects more than 30% of the population over the age of 65 and over half of the elderly by age 90 (Colledge et al 1994; Jonsson et al 2004). About one-third of community-dwelling elderly persons and 60 percent of nursing home residents suffer falls related to imbalance each year (Fuller 2000).…”

Section: Introductionmentioning

confidence: 99%