Prevalence of vestibulopathy in institutionalized elderly persons in Natal-RN-Brazil
Prevalência de vestibulopatia em idosos institucionalizados de Natal - RN - Brasil
Lidiane Maria de Brito Macedo Ferreira; Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro; Kenio Costa de Lima
Abstract
Purpose: to assess the prevalence of vestibulopathy and associated factors in institutionalized elderly persons through bedside clinical examination.
Methods: a cross-sectional study was performed in 12 homes for aged in Natal, Brazil, regulated by the Health Surveillance Department. Elderly persons who possessed a good cognitive level and were able to walk were selected, resulting in a total sample of 115 persons. They were asked whether they had experienced dizziness in the past year, and when the answer was positive, responded to a questionnaire and underwent physical examinations for the diagnosis of vestibulopathy, in accordance with the protocol established by Johnson and Lalwani (2004). The Chi-squared or Fisher's Exact tests were used for statistical analysis, with a significance level of 5%, and the Prevalence Ratio was calculated.
Results: the prevalence of vestibulopathy was 10.56%, and the condition was associated with osteoarthritis and alcohol consumption.
Conclusion: there is a low prevalence of vestibulopathy among institutionalized elderly persons in Natal, Brazil.
Keywords
Resumo
Objetivo: aferir a prevalência de vestibulopatia e seus fatores associados em idosos institucionalizados por meio do exame clínico de cabeceira.
Métodos: trata-se de um estudo transversal realizado nas 12 Instituições de longa permanência para idosos de Natal-Brasil, regulamentadas pela Vigilância Sanitária. Foram eleitos os idosos com bom nível cognitivo e capazes de deambular, totalizando 115 indivíduos. Os idosos foram questionados sobre a presença de tontura no último ano, e quando a resposta era positiva, eram submetidos a questionário e exame físico específico para diagnóstico de vestibulopatia, segundo o protocolo de Johnson e Lalwani (2004). Para a análise estatística, utilizou-se o teste do Qui-quadrado ou exato de Fisher para um nível de significância de 5% e cálculo da razão de prevalência.
Resultados: a prevalência de vestibulopatia foi de 10,56% e foram associados a osteoartrose e o etilismo.
Conclusão: a vestibulopatia apresenta baixa prevalência nos idosos institucionalizados de Natal-Brasil.
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References
1. Ganança MM. Vestibular disorders in the elderly. Braz J Otorhinolaryngol. 2015;81:4-5.
2. Dolci J, Santos MAO. Labyrinth disorders. Rev Bras Med. 2013;70:59-65.
3. Kutz Junior JW. The dizzy patient. Med Clin North Am. 2010;94(5):989-1002.
4. Ferreira LMBM, Ribeiro KMOBF, Pestana ALS, Lima KC. Prevalence of dizziness in older people. Rev CEFAC. 2014;16(3):739-46.
5. Santana GG, Doná F, Ganança MM, Kasse CA. Vestibulopatia no idoso. Saúde Colet. 2011;8(48):52-6.
6. Marchetti GF, Whitney SL. Older adults and balance dysfunction. Neurol Clin. 2005;23(3):785-805.
7. Alrwaily M, Whitney SL. Vestibular rehabilitation of older adults with dizziness. Otolaryngol Clin North Am. 2011;44(2):473-96.
8. Barin K, Dodson EE. Dizziness in the elderly. Otolaryngol Clin North Am. 2011;44(2):437-54.
9. Iwasaki S, Yamasoba T. Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System. Aging Dis. 2015;6(1):38-47.
10. Dros J, Maarsingh OR, van der Horst HE, Bindels PJ, Ter Riet G, van Weert HC. Tests used to evaluate dizziness in primary care. Can Med Assoc J. 2010;182(13):621-31.
11. Ahearn DJ, Umapathy D. Vestibular impairment in older people frequently contributes to dizziness as part of a geriatric syndrome. Clin Med. 2015;15(1):25-30.
12. Tusa RJ. Bedside Assessment of the Dizzy Patient. Neurol Clin. 2005;23(3):655-73.
13. Walker MF, Zee DS. Bedside vestibular examination. Otolaryngol Clin North Am. 2000;33(3):495-506.
14. Kheradmand A, Zee DS. The bedside examination of the vestibulo-ocular reflex (VOR): an update. Rev Neurol (Paris). 2012;168(10):710-9.
15. Lo AX, Harada CN. Geriatric dizziness. Evolving diagnostic and therapeutic approaches for the emergency department. Clin Geriatr Med. 2013;29(1):181-204.
16. Gonçalves DU, Ganança FF, Bottino MA, Greters ME, Ganança MM, Mezzalira R et al. Otoneurological evaluation: current good practice. Braz J Otorhinolaryngol. 2014;80(2):95.
17. Drachman DA, Hart CW. An approach to the dizzy patient. Neurology. 1972;22(4):323-34.
18. Johnson J, Lalwani AK. Vestibular Disorders. In: Lalwani AK, editor. Current Diagnosis and Treatment in Otolaryngology: Head and Neck Surgery. New York: Lange Medical Books/McGraw-Hill; 2004. p 761-70.
19. Sociedade Brasileira de Otorrinolarigologia - SBORL. Fórum sobre vertigem. Braz J Otorhinolaryngol. 2003;69(4):1-36.
20. Campana DR, Ribeiro MQ. Avaliação clínica da orelha. Audição e Equilíbrio. In: SBORL. Tratado de Otorrinolaringologia. São Paulo: Rocca, 2003, v. 1. p. 430-40.
21. Petersen JA, Straumann D, Weber KP. Clinical diagnosis of bilateral vestibular loss: three simple bedside tests. Ther Adv Neurol Disord. 2013;6(1):41-5.
22. Angeli SI, Velandia S, Snapp H. Head-shaking nystagmus predicts greater disability in unilateral peripheral vestibulopathy. American Journal of Otolaryngology. 2011;32:522-7.
23. Lopez-Escamez JA, Zapata C, Molina MI, Palma MJ. Dynamics of canal response to head-shaking test in benign paroxysmal positional vertigo. Acta Oto-Laryngologica. 2007;127:1246-54.
24. Silva ALS, Marinho MRC, Gouveia FMV, Silva JG, Ferreira AS, Cal R. Benign Paroxysmal Positional Vertigo: Comparison of two recent international guidelines. Braz J Otorhinolaryngol. 2011;77(2):191-200.
25. Sociedade Brasileira de Otorrinolaringologia - SBORL. Consenso sobre vertigem. Braz J Otorhinolaryngol. 2000;66(6):1-38.
26. Zapparoli M, Klein F, Moreira H. Avaliação da acuidade visual Snellen. Arq Bras Oftalmol. 2009;72(6):783-8.
27. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001–2004. Arch Intern Med. 2009;169:938-44.
28. Teixeira LJ. Vertigem, reabilitação vestibular e demanda social. Rev Neurocienc. 2009;17(2):102.
29. Post RE, Dickerson LM. Dizziness: A diagnostic approach. Am Fam Physician. 2010;82(4):361-8.
30. Gazzola JM, Ganança FF, Aratani MC, Perracin MR, Ganança MM. Circumstances and consequences of falls in elderly people with vestibular disorder. Braz J Otorhinolaryngol. 2006;72(3):388-93.
31. Gazzola JM, Ganança FF, Aratani MC, Perracini MR, Ganança MM. Clinical evaluation of elderly people with chronic vestibular disorder. Braz J Otorhinolaryngol. 2006;72(4):515-22.
32. Bittar RMS, Simoceli L, Pedalini MEB, Bottino MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol. 2007;73(3):295-8.
33. Pluijm SM, Smit JH, Tromp EA, Stel VS, Deeg DJ, Bouter LM et al. A risk profile for identifying community-dwelling elderly with a high risk of recurrent falling: results of a 3-year prospective study. Osteoporos Int. 2006;17(3):417-25.
34. Bellé M, Sartori Sdo A, Rossi AG. Alcoholism: effects on the cochleo-vestibular apparatus. Braz J Otorhinolaryngol. 2007;73(1):110-6.
Submitted date:
02/24/2015
Accepted date:
06/29/2015
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