The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study

Vincent A van Vugt; Hanneke Stam; Jos W R Twisk; Harriet Finne-Soveri; Vjenka Garms-Homolová; Anja Declercq; Pálmi V Jónsson; Graziano Onder; Henriëtte G van der Roest; Hein van Hout; Otto R Maarsingh

doi:https://doi.org/10.1016/j.jamda.2019.09.008

The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study

Vincent A van Vugt, Hanneke Stam, Jos W R Twisk, Harriet Finne-Soveri, Vjenka Garms-Homolová, Anja Declercq, Pálmi V Jónsson, Graziano Onder, Henriëtte G van der Roest, Hein van Hout, Otto R Maarsingh

Research output: Contribution to journal › Article › Academic › peer-review

4 Citations (Scopus)

Abstract

OBJECTIVES: The prevalence of different geriatric syndromes in older home care (HC) recipients is yet to be determined. Dizziness is often regarded as a geriatric syndrome. The natural course of dizziness in older people is still unknown, because of a lack of longitudinal studies. The objective of this study was to investigate the prevalence and persistence of dizziness in HC recipients.

DESIGN: Prospective cohort study.

SETTING: Home care organizations in 6 European countries participating in the EU-funded Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project.

PARTICIPANTS: 2616 community-dwelling long-term HC recipients aged 65 years or older.

METHODS: Data were collected at baseline and 6 and 12 months by using the interRAI Home Care instrument (interRAI-HC). Dizziness status was assessed by the number of days people experienced dizziness in the last 3 days (0-3) and later dichotomized for analyses (present or not in the last 3 days). Dizziness persistence was defined as the odds for dizzy people at baseline to also report dizziness at subsequent follow-up moments, compared with people who were not dizzy at baseline. The pattern of dizziness was descriptively analyzed in recipients who completed all measurements. Generalized estimating equations analysis was used to determine the persistence of dizziness symptoms.

RESULTS: The prevalence of dizziness of 2616 eligible HC recipients at baseline was 25.1%, ranging from 16.2% (Belgium) to 39.7% (Italy). The majority of dizzy recipients at baseline also experienced dizziness after 6 and 12 months (79.1%). Dizziness persistence was high at 6 months [odds ratio (OR) 57.8, 95% confidence interval (CI) 43.1-77.5] and at 12 months (OR 30.2, 95% CI 22.3-41.1).

CONCLUSIONS AND IMPLICATIONS: Dizziness in older HC recipients in Europe is common, and dizziness persistence is high. This warrants a more active approach in treating dizziness in older HC recipients.

Original language	English
Pages (from-to)	338-343.e1
Journal	Journal of the American Medical Directors Association
Volume	21
Issue number	3
Early online date	28 Oct 2019
DOIs	https://doi.org/10.1016/j.jamda.2019.09.008
Publication status	Published - 1 Mar 2020

Keywords

Primary care
dizziness
general practice
geriatric syndrome
home care
persistence
prevalence

Access to Document

https://doi.org/10.1016/j.jamda.2019.09.008

Cite this

van Vugt, V. A., Stam, H., Twisk, J. W. R., Finne-Soveri, H., Garms-Homolová, V., Declercq, A., Jónsson, P. V., Onder, G., van der Roest, H. G., van Hout, H., & Maarsingh, O. R. (2020). The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study. Journal of the American Medical Directors Association, 21(3), 338-343.e1. https://doi.org/10.1016/j.jamda.2019.09.008

@article{37de16f922ce4c648826d9e9c4fb354c,

title = "The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study",

abstract = "OBJECTIVES: The prevalence of different geriatric syndromes in older home care (HC) recipients is yet to be determined. Dizziness is often regarded as a geriatric syndrome. The natural course of dizziness in older people is still unknown, because of a lack of longitudinal studies. The objective of this study was to investigate the prevalence and persistence of dizziness in HC recipients.DESIGN: Prospective cohort study.SETTING: Home care organizations in 6 European countries participating in the EU-funded Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project.PARTICIPANTS: 2616 community-dwelling long-term HC recipients aged 65 years or older.METHODS: Data were collected at baseline and 6 and 12 months by using the interRAI Home Care instrument (interRAI-HC). Dizziness status was assessed by the number of days people experienced dizziness in the last 3 days (0-3) and later dichotomized for analyses (present or not in the last 3 days). Dizziness persistence was defined as the odds for dizzy people at baseline to also report dizziness at subsequent follow-up moments, compared with people who were not dizzy at baseline. The pattern of dizziness was descriptively analyzed in recipients who completed all measurements. Generalized estimating equations analysis was used to determine the persistence of dizziness symptoms.RESULTS: The prevalence of dizziness of 2616 eligible HC recipients at baseline was 25.1%, ranging from 16.2% (Belgium) to 39.7% (Italy). The majority of dizzy recipients at baseline also experienced dizziness after 6 and 12 months (79.1%). Dizziness persistence was high at 6 months [odds ratio (OR) 57.8, 95% confidence interval (CI) 43.1-77.5] and at 12 months (OR 30.2, 95% CI 22.3-41.1).CONCLUSIONS AND IMPLICATIONS: Dizziness in older HC recipients in Europe is common, and dizziness persistence is high. This warrants a more active approach in treating dizziness in older HC recipients.",

keywords = "Primary care, dizziness, general practice, geriatric syndrome, home care, persistence, prevalence",

author = "{van Vugt}, {Vincent A} and Hanneke Stam and Twisk, {Jos W R} and Harriet Finne-Soveri and Vjenka Garms-Homolov{\'a} and Anja Declercq and J{\'o}nsson, {P{\'a}lmi V} and Graziano Onder and {van der Roest}, {Henri{\"e}tte G} and {van Hout}, Hein and Maarsingh, {Otto R}",

year = "2020",

month = mar,

day = "1",

doi = "https://doi.org/10.1016/j.jamda.2019.09.008",

language = "English",

volume = "21",

pages = "338--343.e1",

journal = "Journal of the American Medical Directors Association",

issn = "1525-8610",

publisher = "Elsevier Inc.",

number = "3",

}

van Vugt, VA, Stam, H, Twisk, JWR, Finne-Soveri, H, Garms-Homolová, V, Declercq, A, Jónsson, PV, Onder, G, van der Roest, HG , van Hout, H & Maarsingh, OR 2020, 'The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study', Journal of the American Medical Directors Association, vol. 21, no. 3, pp. 338-343.e1. https://doi.org/10.1016/j.jamda.2019.09.008

TY - JOUR

T1 - The Prevalence and Persistence of Dizziness in Older European Home Care Recipients

T2 - A Prospective Cohort Study

AU - van Vugt, Vincent A

AU - Stam, Hanneke

AU - Twisk, Jos W R

AU - Finne-Soveri, Harriet

AU - Garms-Homolová, Vjenka

AU - Declercq, Anja

AU - Jónsson, Pálmi V

AU - Onder, Graziano

AU - van der Roest, Henriëtte G

AU - van Hout, Hein

AU - Maarsingh, Otto R

PY - 2020/3/1

Y1 - 2020/3/1

N2 - OBJECTIVES: The prevalence of different geriatric syndromes in older home care (HC) recipients is yet to be determined. Dizziness is often regarded as a geriatric syndrome. The natural course of dizziness in older people is still unknown, because of a lack of longitudinal studies. The objective of this study was to investigate the prevalence and persistence of dizziness in HC recipients.DESIGN: Prospective cohort study.SETTING: Home care organizations in 6 European countries participating in the EU-funded Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project.PARTICIPANTS: 2616 community-dwelling long-term HC recipients aged 65 years or older.METHODS: Data were collected at baseline and 6 and 12 months by using the interRAI Home Care instrument (interRAI-HC). Dizziness status was assessed by the number of days people experienced dizziness in the last 3 days (0-3) and later dichotomized for analyses (present or not in the last 3 days). Dizziness persistence was defined as the odds for dizzy people at baseline to also report dizziness at subsequent follow-up moments, compared with people who were not dizzy at baseline. The pattern of dizziness was descriptively analyzed in recipients who completed all measurements. Generalized estimating equations analysis was used to determine the persistence of dizziness symptoms.RESULTS: The prevalence of dizziness of 2616 eligible HC recipients at baseline was 25.1%, ranging from 16.2% (Belgium) to 39.7% (Italy). The majority of dizzy recipients at baseline also experienced dizziness after 6 and 12 months (79.1%). Dizziness persistence was high at 6 months [odds ratio (OR) 57.8, 95% confidence interval (CI) 43.1-77.5] and at 12 months (OR 30.2, 95% CI 22.3-41.1).CONCLUSIONS AND IMPLICATIONS: Dizziness in older HC recipients in Europe is common, and dizziness persistence is high. This warrants a more active approach in treating dizziness in older HC recipients.

AB - OBJECTIVES: The prevalence of different geriatric syndromes in older home care (HC) recipients is yet to be determined. Dizziness is often regarded as a geriatric syndrome. The natural course of dizziness in older people is still unknown, because of a lack of longitudinal studies. The objective of this study was to investigate the prevalence and persistence of dizziness in HC recipients.DESIGN: Prospective cohort study.SETTING: Home care organizations in 6 European countries participating in the EU-funded Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project.PARTICIPANTS: 2616 community-dwelling long-term HC recipients aged 65 years or older.METHODS: Data were collected at baseline and 6 and 12 months by using the interRAI Home Care instrument (interRAI-HC). Dizziness status was assessed by the number of days people experienced dizziness in the last 3 days (0-3) and later dichotomized for analyses (present or not in the last 3 days). Dizziness persistence was defined as the odds for dizzy people at baseline to also report dizziness at subsequent follow-up moments, compared with people who were not dizzy at baseline. The pattern of dizziness was descriptively analyzed in recipients who completed all measurements. Generalized estimating equations analysis was used to determine the persistence of dizziness symptoms.RESULTS: The prevalence of dizziness of 2616 eligible HC recipients at baseline was 25.1%, ranging from 16.2% (Belgium) to 39.7% (Italy). The majority of dizzy recipients at baseline also experienced dizziness after 6 and 12 months (79.1%). Dizziness persistence was high at 6 months [odds ratio (OR) 57.8, 95% confidence interval (CI) 43.1-77.5] and at 12 months (OR 30.2, 95% CI 22.3-41.1).CONCLUSIONS AND IMPLICATIONS: Dizziness in older HC recipients in Europe is common, and dizziness persistence is high. This warrants a more active approach in treating dizziness in older HC recipients.

KW - Primary care

KW - dizziness

KW - general practice

KW - geriatric syndrome

KW - home care

KW - persistence

KW - prevalence

UR - http://www.scopus.com/inward/record.url?scp=85074398874&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.jamda.2019.09.008

DO - https://doi.org/10.1016/j.jamda.2019.09.008

M3 - Article

C2 - 31672569

SN - 1525-8610

VL - 21

SP - 338-343.e1

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

IS - 3

ER -

The Prevalence and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study

Abstract

Keywords

Access to Document

Other files and links

Cite this