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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2014, Number 1

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Otorrinolaringología 2014; 59 (1)

Assessment of Patients with Vertigo by Dizziness Handicap Inventory (DHI)

Morales ALL, Cárdenas VMI
Full text How to cite this article

Language: Spanish
References: 9
Page: 59-65
PDF size: 515.70 Kb.


Key words:

dizziness, disability, Dizziness Handicap Inventory, quality of life.

ABSTRACT

Background: Vertigo is a symptom and not a diagnosis manifested by movement sensations rotating of character, shifts of support base, floor slope, precipitation in a vacuum and the sensation of falling postural when adopting certain postures.
Objectives: To assess the degree of vertigo in daily life from the perspective of the patient through the Dizziness Handicap Inventory (DHI). Besides, to identify the most common type of disability among patients by age group and by associated illness.
Patients and method: A research clinical, observational, cross-sectional, survey and descriptive study was done from June 2009 to June 2010, with 200 patients, in who Dizziness Handicap Inventory was applied.
Results: The average age of patients was 51.65 years (range 14-95 years). The most common diagnoses were benign paroxysmal positional vertigo (30.5%), vascular vertigo (15.5%), multifactorial vertigo (15.5%), metabolic vertigo (13.5%) and Meniere’s disease (13%). Moderate functional disability affected 36% of patients and severe functional disability and moderate physical disability affected 38%, unlike severe physical disability affecting 50%.
Conclusions: Dizziness Handicap Inventory should be used to assess patients with vertigo, to know the quality of life and to establish a multidisciplinary treatment to obtain the maximum benefit. This questionnaire is simple and easy to be applied in consultation and complements the protocol done in patients with vertigo.


REFERENCES

  1. Neira MP, Valenzuela PV, et al. Semiótica del vértigo postural paroxístico benigno. Rev Otorrinolaringol Cir Cab-Cuello 2001;61:5-12.

  2. Aggarwal NT, Bennet DA, et al. The prevalence of dizziness and its association with functional disability in a biracial community population. Gerontol A Biol Sci Med Sci 2000;55:288-292.

  3. Chávez RG, Gracida HG. Prevalencia de inestabilidad corporal en pacientes diabéticos de una población rural. An Orl Mex 2008;53:13-16.

  4. Megnigneto CA, Sauvage JP, et al. The European Evaluation of Vertigo scale (EEV): a Clinical Validation Study. Rev. Laryngol Otol Rhinol 2001;122:95-102.

  5. Derebery MJ. Diagnóstico y tratamiento de vértigo. Rev Cubana Med 2000;39:238-253.

  6. Gutiérrez MA, Jauregui RK, et al. Discapacidad por enfermedad auditiva y vestibular en un centro de atención especializada. Gac Méd Méx 2005;141:105-109.

  7. González del Pino B, et al. Discapacidad en VPPB. Acta Otorrinolaringol Esp 2003;54:401-408.

  8. Cheverri FS, Cheverri PJ, et al. Efecto en el índice de discapacidad en pacientes adultos con vértigo paroxístico posicional benigno mediante la rehabilitación vestibular con movimiento humano. Revista MH Salud 2007;4:4-11.

  9. Cohen HS, Kimball KT, et al. Application of the Vestibular Disorders Activities of Daily Living Scale. Laryngoscope 2000;110:1204-1209.




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Otorrinolaringología. 2014;59