A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo

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dc.contributor.authorDe Stefano, Alessandro
dc.contributor.authorDispenza, Francesco
dc.contributor.authorSuarez, Hamlet
dc.contributor.authorPerez-Fernandez, Nicolas
dc.contributor.authorManrique-Huarte, Raquel
dc.contributor.authorBan, Jae Ho
dc.contributor.authorKim, Min Beom
dc.contributor.authorStrupp, Michael
dc.contributor.authorFeil, Katharina
dc.contributor.authorOliveira, Carlos A.
dc.contributor.authorSampaio, Andres L.
dc.contributor.authorAraujo, Mercedes F. S.
dc.contributor.authorBahmad, Fayez
dc.contributor.authorGananca, Mauricio M. [UNIFESP]
dc.contributor.authorGananca, Fernando F. [UNIFESP]
dc.contributor.authorDorigueto, Ricardo [UNIFESP]
dc.contributor.authorLee, Hyung
dc.contributor.authorKulamarva, Gautham
dc.contributor.authorMathur, Navneet
dc.contributor.authorDi Giovanni, Pamela
dc.contributor.authorPetrucci, Anna Grazia
dc.contributor.authorStaniscia, Tommaso
dc.contributor.authorCitraro, Leonardo
dc.contributor.authorCroce, Adelchi
dc.contributor.institutionG dAnnunzio Univ Chieti Pescara
dc.contributor.institutionUniv Palermo
dc.contributor.institutionBritish Hosp Montevideo
dc.contributor.institutionUniv Navarra
dc.contributor.institutionSKKU Univ Seoul
dc.contributor.institutionUniv Munich
dc.contributor.institutionUniversidade de Brasília (UnB)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionKeimyung Univ
dc.contributor.institutionKIMS Hosp Kasaragod
dc.contributor.institutionRNT Med Coll Udaipur
dc.date.accessioned2016-01-24T14:35:13Z
dc.date.available2016-01-24T14:35:13Z
dc.date.issued2014-02-01
dc.description.abstractObjective: Primary objective of this study was to find a statistical link between the most worldwide comorbidities affecting the elderly population (hypertension, diabetes, osteoarthrosis, osteoporosis and depression) and recurrent episodes of BPPV. Secondary objective was defining possible groups of risk for people suffering recurrent positional vertigo related to the presence of a well documented comorbidity.Methods: This was an observational, cross-sectional, multicenter, spontaneous, non-pharmacological study. the data of 1092 patients suffering BPPV evaluated in 11 different Departments of Otolaryngology, Otoneurology and Neurology, referring Centers for positional vertigo evaluation, were retrospectively-collected.Results: Regarding evaluated comorbidities (hypertension, diabetes, osteoarthrosis, osteoporosis and depression), data analysis showed the presence of at least one comorbid disorder in 216 subjects (19.8%) and 2 or more in 408 subjects (37.4%). Moreover there was a statistical significant difference between the number of comorbidities and the number of recurrences, otherwise said as comorbidity disorders increased the number of relapses increased too.Conclusion: the presence of a systemic disease may worsen the status of the posterior labyrinth causing a more frequent otolith detachment. This condition increases the risk for patients suffering BPPV to have recurrent episodes, even if correctly managed by repositioning maneuvers. the combination of two or more of aforementioned comorbidities further increases the risk of relapsing BPPV, worsened by the presence of osteoporosis. On the basis of this results it was possible to define groups of risk useful for predicting BPPV recurrence in patients with one or more comorbidity. (C) 2013 Published by Elsevier Ireland Ltd.en
dc.description.affiliationG dAnnunzio Univ Chieti Pescara, Dept Oral & Nanobiotechnol Sci, ENT Inst, I-74100 Taranto, Italy
dc.description.affiliationUniv Palermo, Dept Otorhinolaryngol, San Giovanni di Dio Hosp Agrigento, I-90133 Palermo, Italy
dc.description.affiliationBritish Hosp Montevideo, Lab Otoneurol, CLAEH Sch Med, Montevideo, Uruguay
dc.description.affiliationUniv Navarra, Dept Otorhinolaryngol, Univ Navarra Clin, E-31080 Pamplona, Spain
dc.description.affiliationSKKU Univ Seoul, Dept Otolaryngol, Seoul, South Korea
dc.description.affiliationUniv Munich, Dept Neurol Ludwig Maximilians, D-81377 Munich, Germany
dc.description.affiliationUniv Brasilia, Dept Otorhinolaryngol, BR-70910900 Brasilia, DF, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Otolaryngol, São Paulo, Brazil
dc.description.affiliationKeimyung Univ, Dept Neurol, Sch Med, Taegu, South Korea
dc.description.affiliationKIMS Hosp Kasaragod, Dept Otolaryngol, Kasaragod, Kerala, India
dc.description.affiliationRNT Med Coll Udaipur, Udaipur, Rajasthan, India
dc.description.affiliationG dAnnunzio Univ Chieti Pescara, Dept Pharm, I-74100 Taranto, Italy
dc.description.affiliationG dAnnunzio Univ Chieti Pescara, Postgrad Sch Publ Hlth & Prevent Med, I-74100 Taranto, Italy
dc.description.affiliationG dAnnunzio Univ Chieti Pescara, Dept Med & Aging, I-74100 Taranto, Italy
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Otolaryngol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent31-36
dc.identifierhttp://dx.doi.org/10.1016/j.anl.2013.07.007
dc.identifier.citationAuris Nasus Larynx. Oxford: Elsevier B.V., v. 41, n. 1, p. 31-36, 2014.
dc.identifier.doi10.1016/j.anl.2013.07.007
dc.identifier.issn0385-8146
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/37371
dc.identifier.wosWOS:000331426900007
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofAuris Nasus Larynx
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectBPPVen
dc.subjectVertigoen
dc.subjectHypertensionen
dc.subjectDiabetesen
dc.subjectOsteoarthrosisen
dc.subjectOsteoporosisen
dc.subjectOtolaryngologyen
dc.subjectComorbidityen
dc.subjectNeurologyen
dc.subjectElderlyen
dc.titleA multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigoen
dc.typeinfo:eu-repo/semantics/article
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