DETERMINATION OF PREDICTORS FOR PERSISTENT POSTURAL-PERCEPTUAL DIZZINESS
1Karabuk University, Faculty of Medicine, Department of Otorhinolaryngology, Karabuk, Turkey2Karabuk University Training and Research Hospital, Department of Audiology, Karabuk, Turkey
3Istanbul Gelisim University, Department of Audiology, Istanbul, Turkey Objective: The aim of this study was to determine the factors affecting recovery in patients presenting with acute dizziness and to determine possible predictors for persistent postural-perceptual dizziness (PPPD).
Materials and Methods: In this prospective study, 126 patients with acute dizziness were evaluated. Thirty-two patients (group 1) with dizziness resolved within three months and 31 patients (group 2) having the diagnosis of PPPD after three months were included in the study. The age and sex distribution of the two groups, smoking and alcohol use, history of falling due to imbalance, life styles, physical activity status, and whether they were diagnosed with anxiety, depression or migraine were compared.
Results: There was no significant difference between the two groups in terms of age distribution (p=0.159). The number of female patients was higher in the PPPD group (p=0.004). There was no significant difference between the two groups in terms of smoking and alcohol use (p=0.649, 0.656, respectively). The number of patients with a history of falling due to imbalance, the number of patients not doing sports, the number of people not actively working, the number of people diagnosed with migraine, anxiety and depression were significantly higher in the PPPD group (p<0.05).
Conclusion: Female gender, fall, sedentary life, migraine, anxiety, and depression were found to be the predictors of PPPD. It was found that smoking and alcohol use and abnormal functional balance tests were not risk factors for PPPD in patients with imbalance.
Keywords : Dizziness handicap inventory, persistent postural-perceptual dizziness, vertigo, vestibular