Journal of Neurology

, Volume 262, Issue 9, pp 2083–2091 | Cite as

Long-term outcome of vertigo and dizziness associated disorders following treatment in specialized tertiary care: the Dizziness and Vertigo Registry (DiVeR) Study

  • Mark Obermann
  • Eva Bock
  • Nikolay Sabev
  • Nils Lehmann
  • Ralph Weber
  • Marcus Gerwig
  • Markus Frings
  • Diana Arweiler-Harbeck
  • Stephan Lang
  • Hans-Christoph Diener
Original Communication

Abstract

To investigate the long-term outcome of interdisciplinary treatment in a tertiary care neuro-otology institution after 2 years as part of the Dizziness and Vertigo Registry study. Risk factors associated with unfavourable outcome were assessed. 3113 consecutive patients with disorders of vertigo and dizziness were recruited prospectively between March 2010 and February 2012. Patients were clinically assessed and treated according to their diagnosis. Standardized instruments were used at baseline and at 2-year follow-up [Dizziness Handicap Inventory (DHI), Quality of Life Questionnaire, General Depression Scale, Stait-Trait Anxiety Index], as well as a custom health-related questionnaire. The primary outcome variable of this observational study was the change in DHI after 2 years. Patients suffered from phobic postural vertigo (23 %), benign peripheral paroxysmal vertigo (14.4 %), unilateral vestibulopathy (10.5 %), central vestibular disorders (8 %), Menière’s disease (9.8 %), vestibular migraine (6.9 %), bilateral vestibulopathy (5.5 %), and vestibular paroxysmia (3.1 %). Mean disease duration was 4.6 ± 6.3 years. 1272 patients were available for follow-up, 1159 completed the DHI score. 72.1 % of patients improved in DHI score from baseline to 2 years follow-up. Mean reduction in DHI score was 14 points (p = 0.02). Long-term outcome following diagnosis and treatment in a specialized tertiary care centre is good and persistent after 2 years. Risk factors for an unfavourable outcome were advanced age, severe disability, constant vertigo or dizziness, and concomitant back pain, while depression and anxiety did not contribute to this risk considerably.

Keywords

Tertiary care Dizziness Vertigo Treatment centre Long-term follow-up 

Supplementary material

415_2015_7803_MOESM1_ESM.docx (160 kb)
Supplementary material 1 (DOCX 160 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Mark Obermann
    • 1
    • 5
  • Eva Bock
    • 2
  • Nikolay Sabev
    • 1
  • Nils Lehmann
    • 2
  • Ralph Weber
    • 4
  • Marcus Gerwig
    • 1
  • Markus Frings
    • 1
  • Diana Arweiler-Harbeck
    • 3
  • Stephan Lang
    • 3
  • Hans-Christoph Diener
    • 1
  1. 1.Department of NeurologyUniversity of Duisburg-EssenEssenGermany
  2. 2.Institute for Medical Informatics Biometry and EpidemiologyUniversity of Duisburg-EssenEssenGermany
  3. 3.Department of OtorhinolaryngologyUniversity of Duisburg-EssenEssenGermany
  4. 4.Department of NeurologyAlfried-Krupp-Hospital EssenEssenGermany
  5. 5.Center for NeurologyAsklepios Hospitals SchildautalSeesenGermany

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