Chronic Dizziness and Positional Symptoms: An Exploration of Symptom Clusters and Participant-Reported Experiences.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
American Journal of Audiology Pub Date : 2025-03-03 Epub Date: 2025-02-18 DOI:10.1044/2024_AJA-24-00162
Brandy L Hollins, Erin G Piker, Devin L McCaslin, Joseph M Kush, Joachim Mathiassen, Jos Huijnen
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引用次数: 0

Abstract

Purpose: This mixed-methods design (a) quantitatively describes the symptom cluster assignments of patients with chronic dizziness who completed a dizziness triage questionnaire and (b) qualitatively explains patient-reported themes associated with the most frequently assigned symptom cluster.

Method: A retrospective hybrid explanatory mixed-methods design was implemented to examine an artificial intelligence dizziness triage questionnaire posted online in a vestibular disorders support group from June 2021 to November 2022. Symptom cluster assignments are described in 791 participants. In the qualitative analysis, emerging codes were identified in the dominant symptom cluster in 50 participants.

Results: Quantitative analysis identified a total of 301 symptom cluster combinations. The analysis from 791 participants revealed that females exhibited more symptom clusters than males, age impacted symptoms inversely, and longer duration of symptom history exhibited more symptom clusters. "Positional" was the most common symptom cluster among 50 participants. Of those 50, six major themes emerged from the data: (a) physical symptoms, (b) cognitive symptoms, (c) triggers, (d) temporal information, (e) management, and (f) emotions.

Conclusions: The results from this study emphasize the complexity and variability of chronic dizziness. Comprehensive patient assessments that combine questionnaires with clinical expertise and patient dialogue are needed to improve diagnosis and management.

慢性头晕和体位症状:对症状群和参与者报告经历的探索。
目的:该混合方法设计(a)定量描述了完成头晕分诊问卷的慢性头晕患者的症状群分配,(b)定性解释了患者报告的与最常分配的症状群相关的主题。方法:采用回顾性混合解释混合方法设计,对2021年6月至2022年11月前庭疾病支持小组在线发布的人工智能头晕分诊问卷进行调查。791个参与者描述了症状聚类分配。在定性分析中,在50名参与者的显性症状群中确定了新兴代码。结果:定量分析共鉴定出301种症状聚类组合。对791名参与者的分析显示,女性比男性表现出更多的症状群,年龄与症状负相关,症状史持续时间越长表现出更多的症状群。“位置性”是50名参与者中最常见的症状群。在这50项研究中,从数据中出现了六个主要主题:(a)身体症状,(b)认知症状,(c)触发因素,(d)时间信息,(e)管理,(f)情绪。结论:本研究结果强调了慢性头晕的复杂性和可变性。需要将问卷调查与临床专业知识和患者对话相结合的全面患者评估,以改善诊断和管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Audiology
American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
3.00
自引率
16.70%
发文量
163
审稿时长
>12 weeks
期刊介绍: Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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