RESEARCH PAPER
Epidemiology of dizziness in northern Poland – The first Polish neurootologic survey of the general population
 
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1
Family Health Centre “Salus”, Bytów, Poland
 
2
Department of Otolaryngology, Medical University of Gdańsk, Poland
 
3
Department of Family Medicine, Medical University of Gdańsk, Poland
 
 
Corresponding author
Waldemar Narożny   

Department of Otolaryngology, Medical University of Gdańsk, Poland
 
 
Ann Agric Environ Med. 2017;24(3):502-506
 
KEYWORDS
ABSTRACT
Introduction:
Dizziness is a common complaint among patients seen by primary care physicians, neurologist and otolaryngologist. It presents difficult clinical and diagnostic problems.

Objectives:
The purpose of this study was to determine the prevalence and incidence of dizziness in the general population of the town and district Bytów, northern Poland, and to describe its clinical characteristics.

Material and Methods:
Epidemiological questionnaires were completed by 4,799 inhabitants of the town and district of Bytów. All participants were randomly selected from the patients’ list of the Family Health Centre ‘Salus’ in Bytów. The main variables studied were gender, age, school education, work situation, clinical characteristics of dizziness symptoms and circumstances provoking dizziness.

Results:
Prevalence of dizziness was diagnosed among 16.4% of the inhabitants of the town and district of Bytów. Symptoms of dizziness appeared more often among the elderly and among women. Among young people, the condition shows as vertigo or presyncope, among people aged 50 or older, the condition showed as disequilibrium. The most common precipitant of dizziness was postural change. Dizziness was more likely to occur among those suffering from high blood pressure, diabetes, increased blood lipids, hypothyroidism, cardiac arrhythmia and depression. Dizziness was more likely to occur among women using OCS or HRT, and individuals taking anti-epileptic drugs.

Conclusions:
The authors present the first Polish neurootologic survey of epidemiology of dizziness in the general population. This condition is common in the general population, and this study indicates its prevalence in 16.4% of the inhabitants of the town and district of Bytów. It is recommendable that epidemiological studies should be carried out.

 
REFERENCES (20)
1.
Hannaford PC, Simpson JA, Bissot AF, Davis A, McKerrow W, Mills R. The prevalence of ear, nose and throat problems in the community: results from a national cross-sectional postal survey in Scotland. Fam Pract. 2005; 22: 227–233.
 
2.
Nakashima K, Yokoyama Y, R. Shimoyama R, et al. Prevalence of neurologic disorders in Japanese town. Neuroepidemiology 1996; 15: 208–213.
 
3.
Neuhauser HK, Brevern M, A. Radtke A, Lezius F, Feldman M, Ziese T, et al. Epidemiology of vestibular vertigo. A neurotologic survey of the general population. Neurology 2005; 65: 898–904.
 
4.
Colledge NR, Barr-Hamilton RM, Lewis SJ, Sellar RJ, Wilson JA. Evaluation of investigations to diagnose the cause of dizziness in eldery people: a community based controlled study. BMJ 1996; 313(7060): 788–792.
 
5.
Sloane PD. Dizziness in primary care. Results from National Ambulatory Medical Care Survey. J Fam Pract. 1989; 29(1): 33–38.
 
6.
Sloane PD, Dallara J, Roach C, Bailey KE, Mitchell M, McNutt R. Management of dizziness in primary care. J Am Board Fam Pract. 1994; 7: 1–8.
 
7.
Madlon-Kay DJ. Evaluation and outcome of the dizzy patient. J Fam Pract. 1985; 21(2): 109–113.
 
8.
Drachman DA, C.W. Hart CW. An approach to the dizzy patient. Neurology 1972; 22(4): 323–334.
 
9.
Sloane PD, Coeytaux RR, Beck RS, Dallara J. Dizziness: state of the science. Ann Intern Med 2001; 134: 823–832.
 
10.
Sixt E, Landahl S. Postural disturbances in a 75-year-old population: I. Prevalence and functional consequences. Age Ageing 1987; 16: 393–398.
 
11.
Grimley EJ. Transient neurological dysfunction and risk of stroke in elderly English population: the different significance of vertigo and non-rotatory dizziness. Age Ageing 1990; 19: 43–49.
 
12.
Perry B. Falls among the aged living in a high-rise apartments. J Fam Pract. 1982; 14: 1069–1073.
 
13.
Tinetti ME. Factors associated with serious injury during falls by ambulatory nursing home residents. J Am Geriatr Soc. 1987; 35 (7): 644–648.
 
14.
Garrigues HP, Andres C, A. Arbaizar A, Cerdan C, Meneu V, Oltra JA et al. Epidemiological aspects of vertigo in general population of the Autonomic Region of Valencia, Spain. Acta Otolaryngol. 2008; 128: 43–47.
 
15.
Maarsingh OR, Dros J, Schellevis FG, Weert HC, Windt DA, Riet G et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med. 2010; 8(3): 196–205.
 
16.
Colledge NR, Wilson JA, Macintyre CCA, MacLennan WJ. The prevalence and characteristics of dizziness in an elderly community. Age Aging 1994; 23: 117–120.
 
17.
Sloane PD, Dallara J. Clinical research and geriatric dizziness: the blind med and the elephant. J Am Geriatr Soc. 1999; 47 (1): 113–114.
 
18.
Hanley K, O’Dowd T. Symptoms of vertigo in general practice: a prospective study of diagnosis. Br J Gen Pract. 2002; 52: 809–812.
 
19.
Bird JC, Beynon GJ, Prevost AT, D. Baguley DM. An analysis of referral patterns for dizziness in the primary care setting. Br J Gen Pract. 1998; 48: 1828–1832.
 
20.
Bisdorff A, Brevern M, Lempert T, Newman-Toker DE. Classification of vestibular symptoms: toward an international classification of vestibular disorders. Int J Vest Res. 2009; 19: 1–13.
 
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ISSN:1232-1966
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