Evaluation of peripheral vestibular disorder among elderly patients at the tertiary hospital
This study aimed to determine the prevalence of vestibular dysfunction in the Malaysian elderly and its association with presbycusis, age and other associated risk factors. A cross-sectional study was undertaken in a tertiary otorhinolaryngology department and the community. Adults aged 60 years...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2023
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| Subjects: | |
| Online Access: | http://eprints.usm.my/59888/1/MOHAMMED%20AMIN%20BIN%20ONN-FINAL%20THESIS%20P-UM000619%28R%29%20-E.pdf |
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| Summary: | This study aimed to determine the prevalence of vestibular dysfunction in the
Malaysian elderly and its association with presbycusis, age and other associated risk
factors. A cross-sectional study was undertaken in a tertiary otorhinolaryngology
department and the community. Adults aged 60 years and above who attended ORL
clinic at Hospital Universiti Sains Malaysia (HUSM) with or without presbycusis
were invited to participate. A total number of 135 elderly were recruited in this
study. The main outcome measures including Malay Version Vertigo Symptoms
Scale, pure tone audiometry and vestibular assessment were obtained using a Video
Head Impulse Test (vHIT). The prevalence of vestibular dysfunction with
presbycusis in the study population of 135 elderly participants was 46.7 per cent. The
median age was 68 years (range, 60–86 years). The findings showed that there was
significant association between presbycusis and tinnitus and also between
presbycusis and dizziness. However, the results showed that there was no significant
association between presbycusis and vHIT (p = .938). The prevalence among nonprebycusis
with vestibular dysfunction was 53.3 %, and the findings showed that
there was no significant correlation between vestibular dysfunction without
presbycusis with tinnitus and vertigo dizziness. In conclusion, vestibular dysfunction
is significantly associated with ageing and presbycusis. Further research into the
benefits of additional screening for vestibular dysfunction in elderly presbycusis
patients is warranted. |
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