Dizziness among older adults: A possible geriatric syndrome
Dizziness among older adults: A possible geriatric syndrome
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DOI：
10.7326/0003-4819-132-5-200003070-00002
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发表时间：
2000-03-07
影响因子：
39.2
通讯作者：
Gill, TM
中科院分区：
文献类型：
--
作者：
Tinetti, ME;Williams, CS;Gill, TM
工作背景：在以前的头晕研究中，特定原因的患病率差异很大，并且没有确定或确定了多种原因。头晕可能更好地被认为是一种老年综合征，结果从损害或疾病在multiple systems.Objective：To determine the predisposing characteristics and situational factors associated with dizziness.Design：Population based，cross-sectional study.Setting：Community Participants：Probability sample of 1087 community living persons in New Haven，Connecticut，who were at least 72 years old.Measurements：头晕发作发生至少1个月;头晕的表现;和诱发人口统计学，医学，神经，感觉和心理特征。结果：261名参与者（24%）报告头晕; 56%的头晕的人描述了几种感觉和74%的报告几个触发活动。与头晕相关特征的校正相对危险度为1.69（95% CI，1.24 - 2.30）焦虑，1.36（CI，1.02 - 1.80）抑郁症状，1.27（CI，0.99 - 1.63）听力受损，1.30（CI，1.01 - 1.68）5种或5种以上药物，1.31体位性低血压为1.34（CI，0.95 ~ 1.90），既往心肌梗死为1.31（CI，1.00 ~ 1.71）。调整后的相对危险度为头晕为1.38（CI，1.27至1.49）为每个额外的characteristic.Conclusions：在多个领域（心血管，神经，感觉，心理和药物相关的）和头晕，再加上多重性的感觉和触发活动的特征之间的关联，表明头晕可能是一种老年综合征，类似谵妄和下降。如果是这样的话，一种被证明对其他老年综合征有效的损伤减少策略，可能会有效地减少与头晕相关的症状和残疾。
Background: In previous studies of dizziness, the prevalence of specific causes has varied widely and either no or multiple causes have been identified. Dizziness might be better considered a geriatric syndrome that results from impairment or disease in multiple systems.Objective: To determine the predisposing characteristics and situational factors associated with dizziness.Design: Population-based, cross-sectional study.Setting: CommunityParticipants: Probability sample of 1087 community-living persons in New Haven, Connecticut, who were at least 72 years of age.Measurements: Episodes of dizziness that occurred for at least 1 month; manifestations of dizziness; and predisposing demographic, medical, neurologic, sensory, and psychological characteristics.Results: 261 participants (24%) reported dizziness; 56% of dizzy persons described several sensations and 74% reported several triggering activities. The adjusted relative risks for characteristics associated with dizziness were 1.69 (95% CI, 1.24 to 2.30) for anxiety, 1.36 (CI, 1.02 to 1.80) for depressive symptoms, 1.27 (CI, 0.99 to 1.63) for impaired hearing, 1.30 (CI, 1.01 to 1.68) for five or more medications, 1.31 (CI, 0.92 to 1.87) for postural hypotension, 1.34 (CI, 0.95 to 1.90) for impaired balance, and 1.31 (CI, 1.00 to 1.71) for past myocardial infarction. The adjusted relative risk for dizziness was 1.38 (CI, 1.27 to 1.49) for each additional characteristic.Conclusions: The association among characteristics in multiple domains (cardiovascular, neurologic, sensory, psychological, and medication-related) and dizziness, coupled with the multiplicity of sensations and triggering activities, suggests that dizziness may be a geriatric syndrome, similar to delirium and falling. If so, an impairment reduction strategy, proven effective for other geriatric syndromes, may be effective in reducing the symptoms and disabilities associated with dizziness.