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KMID : 0361020230660020085
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 2 p.85 ~ p.91
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Clinical Analysis of Dizziness Patients Who Visited Emergency Room
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Lee Song-Jae
Lee Ha-Na
Park Min-Kyu
Byun Ha-Young
Lee Seung-Hwan
Chung Jae-Ho
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Abstract
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Background and Objectives Dizziness has diverse underlying causes, so the diagnosis ischallenging especially in the emergency room. The aim of this study is to identify clinicalcharacteristics of patients’ complaints of dizziness in the emergency room.
Subjects and Method We retrospectively reviewed the medical records of 10367 patientswho visited the emergency room with the chief complaint of dizziness from January 2016 toDecember 2020. Patients’ clinical information including age, sex, final diagnoses, consultingdepartments, treatment results and seasonal incidences were thoroughly assessed.
Results Of the total patients who visited the emergency room, 4.64% complained of dizzi-ness. The mean age of patients was 57.6 years old. The most common age group was over 70’s(28.1%). There were 6322 (61.1%) female patients, while 4035 (38.9%) were male patients.
Nearly half 4932 (47.6%) of the patients were managed by the emergency department, followedby 3204, who were managed by the department of otolaryngorhinology (30.9%), and 1166(11.2%) managed by the neurology department. The dizziness was classified as peripheral ver-tigo (33.8%), nonspecific dizziness (27.4%), medical conditions (13.9%), central dizziness(11.0%), cardiac dizziness (6.2%), and other miscellaneous causes of trauma, neoplasm andpsychogenic causes (7.7%). In peripheral vertigo, the incidence of BPPV, vestibular neuritis andMeniere’s disease were 23.5%, 8.8% and 0.6%, respectively.
Conclusion Peripheral vertigo accounted for the majority for the patients with chief com-plaints of dizziness in the emergency room. As diverse medical conditions may cause dizzi-ness, specialized departments have to be involved in the diagnostic process of dizziness.
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KEYWORD
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Dizziness, Emergency room, Vertigo
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