지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 15 - 22 (8page)
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초록· 키워드
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Background and Objectives Benign paroxysmal positional vertigo (BPPV) is one of the mostcommon causes of dizziness with a high recurrence rate. This study aimed to analyze the recurrencerate and the risk factors for recurrence using the Korean National Health Insurance ServiceNational Sample Cohort (NHIS-NSC 2002-2013) data. Subjects and Method Patients aged 20 years or older who were diagnosed with BPPV inthe period of 2002-2012 and had at least 1 year of monitoring period were included in this study. The diagnosis of BPPV was made when the code for BPPV (KCD-6 code H811) was used orwhen canalith reposition therapy (EDI code MX035) was entered even in cases with differentdiagnoses. The risk factors of BPPV recurrence were analyzed. Results Of the total of 21355 patients diagnosed with BPPV, 5876 patients (28%) demonstratedrecurrence. Multiple recurrences were common. When using the univariate regression analysis,age, sex, vestibular disease, headache, osteoporosis, and ischemic heart disease were foundsignificant. When the patients were classified into 4 groups according to age and sex, vestibulardiseases were found as a common risk factor for recurrence in all groups, while headache,osteoporosis, hypertension, and ischemic heart disease were significant in females. Conclusion The recurrence rate of BPPV in the Korean adult population was approximately28% and recurrences were more common in patients aged over 65 and in females. Patients withvestibular diseases were at a higher risk of recurrence regardless of age or sex, while headache,osteoporosis, hypertension and ischemic heart disease increased the risk of recurrence in females.
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참고문헌 (26)
참고문헌 신청
Bhattacharyya N / 2008 / Clinical practice guideline: benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 139(5 Suppl 4):S47~S81
Kim JS / 2014 / Clinical practice. benign paroxysmal positional vertigo / N Engl J Med 370(12):1138~1147
Pérez P / 2012 / Recurrence of benign paroxysmal positional vertigo / Otol Neurotol 33(3):437~443
Kim SH / 2012 / A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis / Auris Nasus Larynx 39(2):163~168
Choi SJ / 2012 / Clinical features of recurrent or persistent benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 147(5):919~924
Kim JS / 2014 / Clinical practice. benign paroxysmal positional vertigo / N Engl J Med 370(12):1138~1147
Pérez P / 2012 / Recurrence of benign paroxysmal positional vertigo / Otol Neurotol 33(3):437~443
Kim SH / 2012 / A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis / Auris Nasus Larynx 39(2):163~168
Choi SJ / 2012 / Clinical features of recurrent or persistent benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 147(5):919~924
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