Diagnosis of geriatric patients with severe dizziness.

Diagnosis of geriatric patients with severe dizziness. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Diagnosis of geriatric patients with severe dizziness. Abstract Text:

OBJECTIVE: To identify the causes of dizziness in older patients presenting to the general practitioner and the clinical characteristics at presentation that might guide the general practitioner to the likely cause of dizziness and the most appropriate specialty for subsequent referral if referral is required. DESIGN: A prospective case control study of older patients presenting with dizziness. SETTING: The initial assessment was made in four general practices, three urban practices and one inner city practice (Newcastle). Subsequent investigations were conducted randomly in the Neurocardiovascular Investigation Unit and the Otolaryngology (ENT) Unit at local University hospitals (Newcastle). PARTICIPANTS: Fifty consecutive patients more than 60 years of age presented with dizziness. Twenty-two age- and sex-matched case controls were recruited from the same general practices. MEASUREMENTS: Measurements were of diagnoses attributable to symptoms. RESULTS: Symptoms were of long duration (median 1 year). Forty-six percent of patients had syncope and/or falls in addition to dizziness. Twenty-eight percent had a cardiovascular diagnosis, 18% had a peripheral vestibular disorder, 14% had a central neurological disorder, 18% had more than one diagnosis, and 22% had no attributable cause of symptoms identified. A cardiovascular diagnosis was predicted by the presence of syncope (P < .001), dizziness described as lightheadedness (P < .001), the need to sit or lie down during symptoms (P < .001), pallor with symptoms (P < .001), symptom precipitation by prolonged standing (P < .05), and whether patients had coexisting cardiovascular disease (P < .05). The description of dizziness as "vertigo" predicted a peripheral vestibular disorder (P < .001). The predictive strength of these prognostic indicators was then validated on a separate sample of 50 additional older patients. CONCLUSIONS: Clinical characteristics can predict an attributable cause of dizziness in most older patients and thus guide general practitioners in treatment and appropriate specialist referral. The presence of syncope, falls, or cardiovascular comorbidity increases the likelihood of a cardiovascular diagnosis. Otolaryngological investigations are rarely diagnostic, but vertiginous symptoms do predict peripheral vestibular disorders.

Diagnosis of geriatric patients with severe dizziness. Publishing Authors By Initials

For similar otorhinolaryngologic diseases: ear diseases: labyrinth diseases: vestibular diseases research abstracts see: otorhinolaryngologic diseases: ear diseases: labyrinth diseases: vestibular diseases research

PUBMED ID PMID:

MEDLINE DATE:

Diagnosis of geriatric patients with severe dizziness. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of the American Geriatrics Society

VOLUME: 47

Page Numbers: 12-7

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Jan

YEAR: 1999

Diagnosis of geriatric patients with severe dizziness. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7503062

Diagnosis of geriatric patients with severe dizziness. Keywords Mesh Terms:

KEYWORDS: Vestibular Diseases

MESH TERMS: complications

Chemical & Substance for Abstract: Diagnosis of geriatric patients with severe dizziness. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Diagnosis of geriatric patients with severe dizziness.

AFFILIATION: Department of Medicine (Geriatric Medicine), Royal Victoria Infirmary, Newcastle Upon Tyne.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Am Geriatr Soc

REFSOURCE: J Am Geriatr Soc. 1999 Jan;47(1):113-4

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Diagnosis of geriatric patients with severe dizziness Related Publications

• A guide for the estimation of gender and sexual orientation effects in dyadic data: an actor-partner interdependence model approach.
• Absorption, excretion, and utilization of an intramuscular iron-poly (sorbitol-gluconic acid) complex, Ferastral.
• Atypical haemolytic uraemic syndrome presenting initially as suspected meningococcal disease: a case report.
• Cardiovascular assessment of falls in older people.
• Diagnosis of geriatric patients with severe dizziness.
• Drop attacks in older adults: systematic assessment has a high diagnostic yield.
• Effect of an ergonomics intervention on workstations of microscope workers.
• Enteropathogenic Escherichia coli (EPEC) inactivate innate immune responses prior to compromising epithelial barrier function.
• Fueling shivering thermogenesis during passive hypothermic recovery.
• It is not what you do, it is the way that you do it: impact of a care pathway for appendicitis.
• Mandatory reporting legislation in the United States, Canada, and australia: a cross-jurisdictional review of key features, differences, and issues.
• Musings on male sex work: a "virtual" discussion.
• Observations on the Liebermann-Burchard reaction.
• Orchidopexy for undescended testis in England: is it evidence based?
• Practical public health records course, Topeka, Kansas.
• Presence of a carotid bruit in adults with unexplained or recurrent falls: implications for carotid sinus massage.
• Primary Pull-Through for Hirschsprung's Disease: Comparison of Open and Laparoscopic-Assisted Procedures.
• Review on hyperemesis gravidarum.
• SISTER Kenney.
• TACE: a new target in epidermal growth factor receptor dependent tumors.
• Tbc.
• The association between vitamin D and inflammation with the 6-minute walk and frailty in patients with heart failure.
• The image intensifier as an operating table--a dangerous practice.
• The influence of age and husbandry of pigs on evaluation of the enzyme linked immuno-sorbent assay (ELISA) for T. spiralis infection.
• The role of fish oil in hypertension.
• The treatment of fracture dislocation of the cervical spine by internal fixation.
• The utility of the 6-minute walk test as a measure of frailty in older adults with heart failure.
• Ultraminiature encapsulated accelerometers as a fully implantable sensor for implantable hearing aids.
• Value of special anaesthetic techniques in ophthalmology.
• Vitamin D and quadriceps exercise--got milk? Got a chair?