Potential Risk Factors Affecting Repeated Canalith Repositioning Procedures in Benign Paroxysmal Positional Vertigo.
Identifieur interne : 000081 ( Main/Exploration ); précédent : 000080; suivant : 000082Potential Risk Factors Affecting Repeated Canalith Repositioning Procedures in Benign Paroxysmal Positional Vertigo.
Auteurs : Junghee Yoon ; Jong Bin Lee ; Ho Yun Lee ; Byung Don Lee [Corée du Sud] ; Chi Kyou Lee [Corée du Sud] ; Seong Jun Choi [Corée du Sud]Source :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2018.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Enfant (MeSH), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Positionnement du patient (méthodes), Récidive (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige positionnel paroxystique bénin (thérapie), Études rétrospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (therapy), Child (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Positioning (methods), Recurrence (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Time Factors (MeSH), Young Adult (MeSH).
- MESH :
- methods : Patient Positioning.
- therapy : Benign Paroxysmal Positional Vertigo.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Humans, Male, Middle Aged, Recurrence, Retrospective Studies, Risk Factors, Time Factors, Young Adult.
Abstract
OBJECTIVE
To define the risk factors and adverse effects associated with repeated canalith repositioning procedures (CRPs).
STUDY DESIGN
A case series featuring chart review.
SETTING
An academic university hospital.
PATIENTS
We retrospectively reviewed 1900 patients (average age, 54.9 years; range, 11-88 years) diagnosed with benign paroxysmal positional vertigo (BPPV). All underwent repeated CRPs. We recorded clinical features including age, gender, BPPV cause (idiopathic or secondary), symptom duration, the canal involved, the number of sessions of CRP, recurrence, follow-up duration, and complications. We compared these factors using Pearson's chi-squared test and multiple linear regression analysis with dummy variables.
INTERVENTIONS
BPPV was diagnosed based on the results of the head roll and Dix-Hallpike tests.
RESULTS
The overall BPPV resolution rate for patients treated with repeated CRPs was 96.4%. The risk factors for the need for multiple CRPs in BPPV were the duration of vertigo before treatment (β = 0.326, p < 0.001), the type of canal involved (β = 0.130, p < 0.001), and age (β = 0.040, p = 0.040). The explanatory power of the regression model attained 46.0% (F = 172.510, p < 0.001). The failure rate of repeated CRPs was 3.6% and complications included canal conversion (3.1%), nausea (46.4%), vomiting (4.9%), head heaviness (50.8%), imbalance (31.9%), and hypotension or palpitations (8.6%). However, almost all patients recovered.
CONCLUSION
The risk factors associated with the need for Multiple CRPs were as follows: longer duration of vertigo before treatment, bilateral or multiple canal involved, and age >50 years.
DOI: 10.1097/MAO.0000000000001634
PubMed: 29227441
Affiliations:
Links toward previous steps (curation, corpus...)
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Yoon</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, College of Medicine, Konyang University.</nlm:affiliation><wicri:noCountry code="subField">Konyang University</wicri:noCountry></affiliation></author><author><name sortKey="Lee, Jong Bin" sort="Lee, Jong Bin" uniqKey="Lee J" first="Jong Bin" last="Lee">Jong Bin Lee</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, College of Medicine, Konyang University.</nlm:affiliation><wicri:noCountry code="subField">Konyang University</wicri:noCountry></affiliation></author><author><name sortKey="Lee, Ho Yun" sort="Lee, Ho Yun" uniqKey="Lee H" first="Ho Yun" last="Lee">Ho Yun Lee</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Eulji University Hospital, Daejon.</nlm:affiliation><wicri:noCountry code="subField">Daejon</wicri:noCountry></affiliation></author><author><name sortKey="Lee, Byung Don" sort="Lee, Byung Don" uniqKey="Lee B" first="Byung Don" last="Lee">Byung Don Lee</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul.</nlm:affiliation><country>Corée du Sud</country><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName><wicri:orgArea>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Seoul Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Lee, Chi Kyou" sort="Lee, Chi Kyou" uniqKey="Lee C" first="Chi Kyou" last="Lee">Chi Kyou Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan</wicri:regionArea><wicri:noRegion>Cheonan</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Seong Jun" sort="Choi, Seong Jun" uniqKey="Choi S" first="Seong Jun" last="Choi">Seong Jun Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan</wicri:regionArea><wicri:noRegion>Cheonan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (therapy)</term><term>Child (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Positioning (methods)</term><term>Recurrence (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Time Factors (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enfant (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Positionnement du patient (méthodes)</term><term>Récidive (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vertige positionnel paroxystique bénin (thérapie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Positionnement du patient</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Recurrence</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Récidive</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To define the risk factors and adverse effects associated with repeated canalith repositioning procedures (CRPs).</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>A case series featuring chart review.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>An academic university hospital.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>We retrospectively reviewed 1900 patients (average age, 54.9 years; range, 11-88 years) diagnosed with benign paroxysmal positional vertigo (BPPV). All underwent repeated CRPs. We recorded clinical features including age, gender, BPPV cause (idiopathic or secondary), symptom duration, the canal involved, the number of sessions of CRP, recurrence, follow-up duration, and complications. We compared these factors using Pearson's chi-squared test and multiple linear regression analysis with dummy variables.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>BPPV was diagnosed based on the results of the head roll and Dix-Hallpike tests.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The overall BPPV resolution rate for patients treated with repeated CRPs was 96.4%. The risk factors for the need for multiple CRPs in BPPV were the duration of vertigo before treatment (β = 0.326, p < 0.001), the type of canal involved (β = 0.130, p < 0.001), and age (β = 0.040, p = 0.040). The explanatory power of the regression model attained 46.0% (F = 172.510, p < 0.001). The failure rate of repeated CRPs was 3.6% and complications included canal conversion (3.1%), nausea (46.4%), vomiting (4.9%), head heaviness (50.8%), imbalance (31.9%), and hypotension or palpitations (8.6%). However, almost all patients recovered.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The risk factors associated with the need for Multiple CRPs were as follows: longer duration of vertigo before treatment, bilateral or multiple canal involved, and age >50 years.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29227441</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>23</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>02</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Potential Risk Factors Affecting Repeated Canalith Repositioning Procedures in Benign Paroxysmal Positional Vertigo.</ArticleTitle><Pagination><MedlinePgn>206-211</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000001634</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To define the risk factors and adverse effects associated with repeated canalith repositioning procedures (CRPs).</AbstractText><AbstractText Label="STUDY DESIGN">A case series featuring chart review.</AbstractText><AbstractText Label="SETTING">An academic university hospital.</AbstractText><AbstractText Label="PATIENTS">We retrospectively reviewed 1900 patients (average age, 54.9 years; range, 11-88 years) diagnosed with benign paroxysmal positional vertigo (BPPV). All underwent repeated CRPs. We recorded clinical features including age, gender, BPPV cause (idiopathic or secondary), symptom duration, the canal involved, the number of sessions of CRP, recurrence, follow-up duration, and complications. We compared these factors using Pearson's chi-squared test and multiple linear regression analysis with dummy variables.</AbstractText><AbstractText Label="INTERVENTIONS">BPPV was diagnosed based on the results of the head roll and Dix-Hallpike tests.</AbstractText><AbstractText Label="RESULTS">The overall BPPV resolution rate for patients treated with repeated CRPs was 96.4%. The risk factors for the need for multiple CRPs in BPPV were the duration of vertigo before treatment (β = 0.326, p < 0.001), the type of canal involved (β = 0.130, p < 0.001), and age (β = 0.040, p = 0.040). The explanatory power of the regression model attained 46.0% (F = 172.510, p < 0.001). The failure rate of repeated CRPs was 3.6% and complications included canal conversion (3.1%), nausea (46.4%), vomiting (4.9%), head heaviness (50.8%), imbalance (31.9%), and hypotension or palpitations (8.6%). However, almost all patients recovered.</AbstractText><AbstractText Label="CONCLUSION">The risk factors associated with the need for Multiple CRPs were as follows: longer duration of vertigo before treatment, bilateral or multiple canal involved, and age >50 years.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yoon</LastName><ForeName>Junghee</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, College of Medicine, Konyang University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Jong Bin</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, College of Medicine, Konyang University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Ho Yun</ForeName><Initials>HY</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Eulji University Hospital, Daejon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Byung Don</ForeName><Initials>BD</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Chi Kyou</ForeName><Initials>CK</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Seong Jun</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Republic of Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>12</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>12</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29227441</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000001634</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><noCountry><name sortKey="Lee, Ho Yun" sort="Lee, Ho Yun" uniqKey="Lee H" first="Ho Yun" last="Lee">Ho Yun Lee</name><name sortKey="Lee, Jong Bin" sort="Lee, Jong Bin" uniqKey="Lee J" first="Jong Bin" last="Lee">Jong Bin Lee</name><name sortKey="Yoon, Junghee" sort="Yoon, Junghee" uniqKey="Yoon J" first="Junghee" last="Yoon">Junghee Yoon</name></noCountry><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Byung Don" sort="Lee, Byung Don" uniqKey="Lee B" first="Byung Don" last="Lee">Byung Don Lee</name></region><name sortKey="Choi, Seong Jun" sort="Choi, Seong Jun" uniqKey="Choi S" first="Seong Jun" last="Choi">Seong Jun Choi</name><name sortKey="Lee, Chi Kyou" sort="Lee, Chi Kyou" uniqKey="Lee C" 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