Evidence map›Paper›PMID 29937859›Full record

ArticleJournal of otology2018

Age predicts the absence of caloric-induced vertigo.

Gary P Jacobson, Erin G Piker, Sarah L Grantham, Lauren N English

Abstract read
In one paragraph

Article in Journal of otology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gary P JacobsonDepartment of Hearing and Speech Sciences, Divisions of Audiology and Vestibular Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Erin G PikerDepartment of Communication Sciences and Disorders, James Madison University, Harrisonburg, VA, USA.
Sarah L GranthamDepartment of Hearing and Speech Sciences, Divisions of Audiology and Vestibular Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Lauren N EnglishDepartment of Hearing and Speech Sciences, Divisions of Audiology and Vestibular Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe absence of vertigo during the caloric test, despite a robust response, has been suggested to represent a central vestibular system phenomenon. The purpose of this investigation was to determine the prevalence of absent caloric-induced vertigo perception in an unselected group of patients and to assess possible predicting variables.

methodsProspective investigation of 92 unselected patients who underwent caloric testing. Inclusion criteria were that each patient generate a maximum slow phase velocity (maxSPV) ≥ 15 deg/sec and a caloric asymmetry of ≤10%. Following the caloric, patients were asked, "Did you have any sensation of motion?"

resultsResults showed 75% of patients reported motion with a mean age of 56.51 years compared to a mean age of 66.55 in the 25% of patients reporting an absence of motion. A logistic regression was performed and the overall model was statistically significant accounting for 29% of the variance in caloric perception. The significant predictor variables were patient age and maxSPV of the caloric response. The effect size for both variables was small with an odds ratio of .9 for maxSPV and 1.06 for age.

conclusionsThe current investigation showed that both age and maxSPV of the caloric response were significant predictors of vertigo perception during the caloric exam. However, the association between age and caloric perception is not conclusive. Although there is evidence to suggest that these findings represent age-related changes in the central processing of vestibular system stimulation, there are additional unmeasured factors that influence the perception of caloric-induced vertigo.

Indexed as

AgingCaloric testCentral processingSPV, slow phase velocityVertigoVestibularVNG, videonystagmography

Identifiers

PMID29937859
PMCPMC6002628

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.