65 Yaş Üstü Hastalarda Major Bir Problem: Dizziness

Year 2021, Volume: 4 Issue: 3, 84 - 92, 31.12.2021

Derya Ozdogru , Mehmet Balal , Şebnem Bıçakcı

https://doi.org/10.47141/geriatrik.1010339

Abstract

Amaç: Dizziness, uzayda oryantasyon bozukluğu hissini tanımlamak için kullanılan bir terimdir. Halk arasında çok yaygındır ve prevalansı %11-32,5 olarak bilinmektedir. Bu oran ileri yaşla birlikte %60-70'lere kadar çıkmaktadır. Farklı mekanizmalardan kaynaklanan vertigo, dengesizlik, presenkop ve nonspesifik baş dönmesi hissi bu başlığa girer. Bu çalışmanın amacı 65 yaş ve üzeri dizziness şikayeti ile başvuran hastaların klinik özelliklerini belirlemektir.

Gereç ve Yöntemler: Ocak 2014-Ağustos 2016 tarihleri arasında Çukurova Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı polikliniğine dizziness nedeniyle başvuran 65 yaş üstü (52 kadın, 48 erkek) 100 hasta çalışmaya dahil edildi. Hastaların öyküleri, nörolojik ve nörotolojik muayeneleri, laboratuvar değerleri ve ileri tetkik sonuçları kaydedildi.

Bulgular: Hastaların yaş ortalaması 72,6 yıl (minimum: 65, maksimum: 91) olarak belirlendi. Olgular dört gruba ayrıldı. Alt grup analizinde vertigo grubunda 53 (%51), 21 presenkop (%20,2), 27 dengesizlik (%26), 3 nonspesifik sersemlik hissi (%2,8) hasta bulunmaktadır. Dört hastada birden fazla neden tespit edildi.

Sonuç: Baş dönmesi, hastaneye başvurmanın en yaygın nedenlerinden biridir ve özellikle geriatrik popülasyonda yaşam kalitesi üzerinde çok olumsuz bir etkiye sahiptir. Doğru teşhis ve tedavi, hastaların yaşam kalitesini arttırır ve merkezi sinir sistemi hastalıklarının erken tanınmasını sağlar.

Keywords

dizziness, vertigo, dengesizlik, yaşlı, presenkop

Supporting Institution

yok

Project Number

yok

A Major Problem for Patients Over 65 Years of Age: Dizziness

Abstract

Aim: Dizziness is a term used to describe the sense of disorientation in space. It is prevalent in public, and its prevalence is known to be 11-32.5%. This rate extends to 60-70% with advanced age. Vertigo, imbalance, presyncope, and nonspecific sensation of dizziness which originate from different mechanisms, fall within this title. The aim of this study was to determine the clinical characteristics of patients applying with dizziness aged 65 years and over.

Material and Methods: 100 patients over 65 years of age (52 female, 48 male) were admitted to the outpatient clinic of the Neurology Department of Çukurova University Faculty of Medicine between January 2014 and August 2016 due to dizziness included in the study. Mobility difficulty was accepted as an exclusion criterion. Patients' history, neurological and neurotological examinations, laboratory values, and further examination results were recorded.

Results: The patients' mean age was 72.6 years (minimum: 65, maximum: 91). Cases were divided into four groups. In the subgroup analysis, there are 53 patients in the vertigo group (51%), 21 in presyncope (20.2%), 27 in imbalance (26%), and 3 in nonspecific sensation of dizziness (2.8%). Multiple causes were identified in four patients.

Conclusion: Dizziness is one of the most common reasons for hospital admission and negatively impacts the quality of life, especially in the geriatric population. Accurate diagnosis and treatment increase patients' quality of life and provide early recognition of central nervous system diseases.

Keywords

dizziness, vertigo, imbalance, older adults, presyncope

Project Number

yok

References

• 1. Ciorba A, Bianchini C, Scanelli G. The impact of dizziness on quality-of-life in the elderly. Eur. Arch. Otorhinolaryngol. 2017; 274: 1245-1250.
• 2. Gassmann KG, Rupprecht R. Dizziness in an older community dwelling population: a multifactorial syndrome. J. Nutr. Health Aging 2009; 13(3): 278-82.
• 3. Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: a possible geriatric syndrome. Ann. Intern. Med. 2000; 132(5): 337-44.
• 4. Fernández L, Breinbauer HA, Delano PH. Vertigo and dizziness in the elderly. Front. Neurol. 2015; 6: 144.
• 5. Neuhauser HK. Epidemiology of vertigo. Curr. Opin. Neurol. 2007; 20(1): 40-6.
• 6. Piker EG, Jacobson GP. Self-report symptoms differ between younger and older dizzy patients, Otol. Neurotol. 2014; 35: 873-879.
• 7. Maarsingh OR, Dros J. Causes of persistent dizziness in elderly patients in primary care. Ann. Fam. Med. 2010; 8: 196-205.
• 8. Uzun C. Audiological findings in patients with vertigo. Trakya University Faculty of Medicine. Dissertation. Edirne 1995; 2-42.
• 9. Pont L, Alhawassi T. Challenges in the management of hypertension in older populations. Adv. Exp. Med. Biol. 2017; 956: 167–180.
• 10. Saccomano SJ. Dizziness, vertigo, and presyncope:what’s the difference? Nurse Pract. 2012; 37(12): 46-52.
• 11. Alyono JC. Vertigo and dizziness. Otolaryngol. Clin. north Am. 2018; 51(4): 725–740.
• 12. Walther LE, Rogowski M, Schaaf H, et al. Falls and dizziness in the elderly. Otolaryngol. Pol. 2010; 64 (6): 354-357.
• 13. Kroenke K, Lucas CA, Rosenberg ML. Causes of persistent dizziness. A prospective study of 100 patients in ambulatory care. Ann. Intern. Med. 1992; 117(11): 898-904.
• 14. Kuroda R, Nakada T, Ojima T, et al. The triAGe+ score for vertigo or dizziness: a diagnostic model for stroke in the emergency department. J. stroke Cerebrovasc. Dis. 2017; 26(5): 1144–1153.
• 15. Lee H. Isolated vascular vertigo. J. Stroke. 2014; 16: 124–130.
• 16. Rubin DI, Cheshire WP. Evaluation of “dizziness” in the neurology office. Semin Neurol. 2011; 31: 029–41.
• 17. Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am. Fam. Physician 2010; 82(4): 361-8.
• 18. Kerber KA, Brown DL, Lisabeth LD, et al. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: A population-based study. Stroke 2006; 37(10): 2484–2487.
• 19. Babac S, Djeric D, Petrovic-Lazic M, et al. Why do treatment failure and recurrences of benign paroxysmal positional vertigo occur? Otol. Neurotol. 2014; 35: 1105–10.
• 20. Larson LM, Sliter R, Helmer SD. Outcomes in elderly fall victims: what happens after hospital discharge? Am. J. Surg. 2016; 212: 1106-1114.
• 21. Soyuer F, Unalan D, Erdogan F. Falling prevalence and risk factors in patients admitted to the Department of Neurology, Faculty of Medicine, Erciyes University. Turkish Journal of Neurology 2006; 12(4): 269.
• 22. Stevens KN, Lang IA, Guralnik JM, et al. Epidemiology of balance and dizziness in a national population: findings from the english longitudinal study of ageing. Age ageing 2008; 37(3): 300-5.
• 23. Aratani MC, Perracini MR, Caovilla HH, et al. Disability rank in vestibular older adults. Geriatr. Gerontol. Int. 2011; 11(1): 50-4.