Chávez RG, Gracida HGA

Language: Spanish
References: 12
Page: 13-16
PDF size: 140.50 Kb.

ABSTRACT

Introduction
Although diabetes is associated with structural changes in the inner ear and central pathways, there is no report of corporal instability in Mexican outpatients with diabetes. With the objective of evaluating the prevalence impact at primary care (early detection) a corporal instability questionnaire was performed within a rural population.
Objective
To estimate the prevalence of vestibular damage in diabetics of a first level hospital.
Patients and methods
A validated corporal instability questionnaire was used; if the score was equal to or higher than four, corporal instability was considered positive. The rate and 95% confidence intervals of corporal instability were estimated.
Results
Thirty-six patients were evaluated, average age 53 years. Twentynine were females (80.6%). Average diabetes evolution time was 4.6 years. Twelve patients (33.3%) had history of hypertension. Average questionnaire score was 5.5. The rate of score equal to o higher than four was 72.2%.
Conclusions
Corporal instability in outpatients diabetes is higher than the previously suggested in other studies where the cause of dizziness related to hypertension, diabetes and other illnesses is described in general. Since not every diabetic with vestibular damage refers to vertigo, this kind of questionnaire could be used to detect vestibular damage during the first patient assessment, which would favor early referral.

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