Table 3.
a. Dizziness profile* | ||
---|---|---|
Dizziness related questions | [Patient Reported] What is the main concern today? |
|
Both Tinnitus and Dizziness |
Dizziness | |
Severe spinning/vertigo (if NO, stop questionnaire), no. (%) | 351 (85) | 407 (82) |
Most vertigo symptoms when move head/body a certain way | 201 (59) | 276 (67) |
Most vertigo symptoms occur spontaneously | 272 (77) | 252 (62) |
Have had more than 1 episode of severe spinning | 330 (92) | 374 (90) |
Dizziness symptoms last | ||
<5 minutes | 105 (30) | 157 (38) |
20 minutes to 2–3 hours | 124 (35) | 99 (24) |
Hours to days | 122 (35) | 157 (38) |
Number of vertigo episodes in last year | ||
1 | 28 (10) | 31 (11) |
2 | 26 (10) | 32 (12) |
3–10 | 80 (29) | 92 (34) |
>10 | 138 (51) | 117 (43) |
Number of vertigo episodes in past 6 months | ||
1 | 19 (9) | 31 (14) |
2 | 28 (13) | 33 (14) |
3–10 | 82 (37) | 60 (26) |
>10 | 94 (42) | 105 (46) |
Number of vertigo episodes in past month | ||
1 | 41 (20) | 50 (20) |
2 | 33 (16) | 33 (13) |
3–10 | 80 (38) | 69 (28) |
>10 | 54 (26) | 98 (39) |
Number of days missed work in last year | ||
1 | 29 (15) | 33 (19) |
2 | 26 (13) | 25 (14) |
3–10 | 70 (36) | 63 (36) |
>10 | 70 (36) | 56 (32) |
Number of days missed work in past 6 months | ||
1 | 23 (16) | 31 (20) |
2 | 29 (20) | 24 (16) |
3–10 | 52 (35) | 53 (35) |
>10 | 44 (30) | 44 (29) |
Number of days missed work in past month | ||
1 | 38 (29) | 44 (27) |
2 | 27 (20) | 26 (16) |
3–10 | 36 (27) | 54 (33) |
>10 | 31 (23) | 39 (24) |
Symptoms of vertigo typically associated with (all that apply) | ||
Hearing loss in 1 ear only | 157 (35) | 69 (13) |
Fullness or pressure in 1 ear only | 207 (47) | 102 (19) |
Tinnitus or ringing in 1 ear/predominately | 241 (54) | 75 (14) |
Headache or head pain | 178 (40) | 169 (32) |
Light sensitivity | 145 (33) | 131 (25) |
None of the above | 32 (7) | 105 (20) |
Neck pain or recent neck injury? | 142 (40) | 126 (31) |
Currently have or previously had headaches diagnosed as migraine? | 147 (41) | 133 (31) |
Anyone in immediate family with diagnosis of migraine? | 136 (38) | 155 (37) |
Dizziness Handicap Inventory (DHI) | ||
DHI score respondents, no. (%) | 420 (95) | 514 (98) |
Average of DHI score ±SD | 41.7±26.1 | 40.0±21.6 |
Average of DHI score (Grade/Whitney) | 2 (moderate) | 2 (moderate) |
Grade 1 (0–30 or mild), % | 40 | 38 |
Grade 2 (31–60 or moderate), % | 35 | 43 |
Grade 3 (61–100 or severe), % | 24 | 18 |
DHI top 3 most frequently reported problems/questions (ranked by score: yes/sometimes total) | ||
Quick head movements increase problem | 1 | 1 |
Feel frustrated because of problem | 2 | 2 |
Performing more ambitious activities (e.g., sports, household chores, etc.) increases problem | 3 | |
Bending over increases problem | 3 | |
DHI top 3 least frequently reported problems/questions | ||
Afraid to stay home alone | 1 | 1 |
Afraid people will think you are intoxicated | 2 | |
Afraid to leave home unaccompanied | 2 | 3 |
Difficult to go to work by oneself | 3 | |
Migraine Assessment Tool (MAT)—Diagnosis of migraine (based on tool) | ||
Patients with migraine, no. migraine diagnoses/no. filled out MAT (%) | 33/124 (27) | 35/132 (27) |
b. Provider data—dizziness (remove PTA SRT no. data) | ||
---|---|---|
Provider reported data: For patients primarily being seen for dizziness |
[Patient Reported] What is the main concern today? |
|
Both Tinnitus and Dizziness |
Dizziness | |
Audiogram information provided (categories below), no. | 373 | 510 |
Audiogram not done, % | 9 | 22 |
Audiogram done—showed normal hearing in both ears, % | 20 | 30 |
Audiogram done and showed, no. | 265 | 244 |
PTA right ear, no. | 260 | 244 |
SRT right ear, no. | 258 | 243 |
PTA left ear, no. | 260 | 244 |
SRT left ear, no. | 258 | 241 |
ENG data, no. (%) | ||
Was not done | 192 (54) | 275 (56) |
Was done and showed normal cal fx in both ears | 107 (30) | 162 (33) |
Was done and showed at least 25% weakness in clinically affected ear | 58 (16) | 55 (11) |
Most likely diagnosis, no. (%) | ||
BPPV | 44 (16) | 128 (35) |
Vestibular neuronitis | 34 (12) | 90 (24) |
Definite Ménière‘s disease | 103 (38) | 34 (9) |
Probable Ménière‘s disease | 40 (15) | 25 (7) |
Otosyphillis, Cogan‘s syndrome, or AHL | 3 (1) | 3 (0.8) |
Vertiginious migraine | 50 (18) | 89 (24) |
Patients were allowed to skip questions which results in changing denominators by question and throughout the survey.