어지럼증을 주소로 응급실에 내원한 환자의 임상양상 분석

이송재; 정재호; 이하나; 박민규; 변하영; 변하영; 이승환

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자료유형: 학술저널

저자정보: 이송재 (한양대학교 의과대학 이비인후-두경부외과학교실) 정재호 (한양대학교 의과대학 이비인후-두경부외과학교실) 이하나 (한양대학교 의과대학 이비인후-두경부외과학교실) 박민규 (한양대학교 의과대학 이비인후-두경부외과학교실) 변하영 (한양대학교 의과대학 이비인후-두경부외과학교실) 변하영 (한양대학교 의과대학 이비인후-두경부외과학교실) 이승환 (한양대학교 의과대학 이비인후-두경부외과학교실)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제66권 제2호

발행연도: 2023.2

수록면: 85 - 91 (7page)

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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.

#Dizziness #Emergency room #Vertigo.

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