Evidence map›Paper›PMID 35151262›Full record

Trial reportBMC geriatrics2022

Dizziness and benign paroxysmal positional vertigo among retirement home residents: a cross-sectional descriptive and interventional study.

Rainer Müller, Peter Zangger, Dominik Straumann, Stefan Y Bögli

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03643354 (Evaluation of the Prevalence of BPPV and Longterm Effects of Its Therapy in Retirement Homes), which is not on this 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

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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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03643354 nacompletednot on this map

Evaluation of the Prevalence of BPPV and Longterm Effects of Its Therapy in Retirement Homes

TypeinterventionalSponsorUniversity of ZurichRan2018 to 2023Enrolled453ConditionsBenign Paroxysmal Positional VertigoArmsEpley maneuver/Barbeque maneuver
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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.

Rainer MüllerDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Peter ZanggerDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Dominik StraumannDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland.
Stefan Y BögliDepartment of Neurology, University Hospital Zurich, Zurich, Switzerland. stefanyu.boegli@usz.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of dizziness increases with age. We aimed to determine the point prevalence of dizziness and, in particular, of benign paroxysmal positional vertigo (BPPV) among retirement home residents. Furthermore, we aimed to evaluate the efficacy of a 2-axis turntable based BPPV treatment.

methodsWe contacted all large retirement homes in or around the city of Zurich (Switzerland). 10 retirement homes (with a total of 536 residents) agreed to participate in this study. 83 rejected inquiries by residents led to a potential study population of 453 residents. After a structured interview evaluating the presence and characteristics of dizziness, all willing patients were tested for positional vertigo and nystagmus on a portable and manually operated 2-axis turntable that was transported to the retirement home. Testing consisted of the Dix-Hallpike and supine roll maneuvers to both sides. Participants were immediately treated with the appropriate liberation maneuver whenever BPPV was diagnosed. Otherwise, taking the resident's medical history, a neuro-otological bedside examination, and a review of the available medical documentation was used to identify other causes of dizziness.

resultsOut of the 453 residents, 75 (16.6%; average age: 87.0 years; 68% female) were suffering from dizziness presently or in the recent past and gave their consent to participate in this study. Among the participants tested on the turntable (n = 71), BPPV was present in 11.3% (point prevalence). Time-related properties, triggering factors and qualitative attributes of vertigo or dizziness were not significantly different between the dizzy participants with and those without BPPV. In all BPPV patients, appropriate liberation maneuvers were successful.

conclusionsBPPV could be demonstrated in about one tenth of retirement home residents with dizziness or recent dizziness. Such point prevalence of BPPV translates to a much higher yearly prevalence if one assumes that BPPV is not present on every day. Our finding suggests that retirement home residents suffering from dizziness should be regularly tested for BPPV and treated with appropriate liberation maneuvers, ideally on turntable to reduce strain.

trial registrationClinicalTrials.gov Identifier NCT03643354 .

Indexed as

Benign Paroxysmal Positional VertigoDizzinessAged, 80 and overCross-Sectional StudiesFemaleHumansMalePrevalenceRetirementBenign paroxysmal positional vertigoDizzinessEpidemiologyRetirement homevertigo

Identifiers

PMID35151262
PMCPMC8841082

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Registered trials

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.