Prevalence av BPPV Among Elderly in Primary Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Benign Paroxysmal Positional Vertigo (BPPV). Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Screening for Benign Paroxysmal Positional Vertigo in Primary Care Among Elderly Presenting With Dizziness, Imbalance, and Increased Tendency to Fall
Overview
This study aims to investigate whether positional tests should be routinely performed on all elderly patients (65 years and older) presenting to primary care with symptoms of acute, episodic, or chronic dizziness or vertigo, unsteadiness, imbalance, and/or an increased tendency to fall in the past 12 months. Study aims to investigate whether diagnostic maneuvers should be performed regardless of the presence of conventional positional vertigo presentation associated with classical cases of benign paroxysmal positional vertigo (BPPV). Specifically, the study aims to identify "hidden" cases of BPPV and assess the potential benefits of clinical screening and initial treatment of BPPV in primary care setting thus improving the BPPV-related quality of life and reducing the risk of falls in the elderly population.
Primary outcome measures
- What is the overall prevalence of BPPV among elderly patients (65 years and older) presenting with symptoms of dizziness, vertigo, unsteadiness, imbalance, or an increased tendency to fall in primary care setting? [Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).]
Secondary outcome measures (4)
- What is the prevalence of benign paroxysmal positional vertigo among elderly patients seeking primary care for dizziness, unsteadiness, balance problems and/or an increased tendency to fall but not reporting conventional BPPV symptoms? [Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).]
- What is the prevalence of benign paroxysmal positional vertigo among elderly patients seeking primary care for clear and well defined positional vertigo associated with conventional BPPV presentation? [Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).]
- What are the differences in demographic, clinical and life-quality results between BPPV-positive and BPPV-negative groups? [Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).]
- What are the differences in clinical and life-quality outcomes between so-called "classical" BPPV-cases and "hidden" BPPV-cases before and after treatment? [Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).]
Eligibility criteria
Inclusion criteria
Patients aged 65 years or older and present to the primary care clinic with one or several of the following:
- Acute, episodic, or chronic sensation of dizziness/vertigo.
- Subjective or objective imbalance during stance or movements.
- Presented with increased tendency of falls by exhibiting unintentional loss of balance resulting in a fall one or more times in the past 12 months.
Exclusion criteria
- Patients not meeting the above epidemiological and medical criteria described under "Inclusion Criteria".
- Patients presenting with pathologies in which head and neck movements/manipulations are contraindicated, including (but not limited to): cervical instability, acute head and neck trauma, known cervical disk prolapse, Arnold-Chiari malformation, vascular pathologies such as carotid sinus syncope, vascular dissection and vertebrobasilarinsufficiency, including patients with paralysis as well as those with reduced mobility, in whom diagnostic maneuvers cannot be correctly performed.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Study design
- Observational model
- Cohort
Study locations
Sweden · 1 center
- Boo health center — Saltsjö-Boo
Identifiers
NCT: NCT06643702 · SLSO 2024-2982 · 2024-05079-01