AUTHOR=Fu Wei , He Feng , Bai Ya , An Xinyue , Shi Ying , Han Junliang , Wang Xiaoming 

TITLE=Risk Factors of Residual Dizziness After Successful Treatment for Benign Paroxysmal Positional Vertigo in Middle-Aged and Older Adults

JOURNAL=Frontiers in Neurology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.850088

DOI=10.3389/fneur.2022.850088

ISSN=1664-2295

ABSTRACT=<sec><title>Objective</title><p>The purpose of this study was to analyze risk factors of residual dizziness (RD) after successful treatment for benign paroxysmal positional vertigo (BPPV) in middle-aged and older adults.</p></sec><sec><title>Methods</title><p>181 patients with BPPV, after successful canalith repositioning maneuver (CRM) treatment, were recruited. All patients were divided into the middle-aged group (aged 45–59 years, <italic>n</italic> = 101) and the older group (over 60 years, <italic>n</italic> = 80). The clinical characteristics were recorded, including age, gender, numbers of maneuvers, involved canal, affected side, RD, comorbidities, dizziness handicap inventory score, and generalized anxiety disorder's 7-item scale score.</p></sec><sec><title>Results</title><p>The incidence of RD in the older group was significantly higher than that of the middle-aged group (<italic>p</italic> = 0.033). Multivariate logistic regression analysis shows that age (odds ratio = 1.042, <italic>p</italic> = 0.006), moderate to severe dizziness (odds ratio = 2.017, <italic>p</italic> = 0.034), and moderate to severe anxiety (odds ratio = 2.228, <italic>p</italic> = 0.017) were independently associated with RD in middle-aged and older adults.</p></sec><sec><title>Conclusion</title><p>Older adults exhibited higher incidence of RD after successful treatment for BPPV. Age, moderate to severe dizziness, and moderate to severe anxiety were independent risk factors of RD in middle-aged and older adults.</p></sec>