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Health, functional, and psychological outcomes among older persons with chronic dizziness
Author(s)Mary E Tinetti, Christianna S Williams, Thomas M Gill
Journal titleJournal of the American Geriatrics Society, vol 48, no 4, April 2000
Pagespp 417-421
KeywordsFainting ; Living in the community ; Longitudinal surveys ; United States of America.
AnnotationThe recommended clinical strategy for a healthy condition should depend both on known causes of and outcomes associated with the condition. This study aimed to determined the range of adverse outcomes associated with chronic dizziness. Participants were 1087 people aged 72 and over living in the community, of whom 261 (24%) reported chronic dizziness. Over 1 year of follow-up, chronic dizziness was not associated with mortality, hospitalisation for any reason, or change in basic or instrumental activities of daily living (ADLs or IADLs), but was associated with risk of falling and with experiencing syncope (fainting). Chronic dizziness was also associated with worsening of depressive symptoms, self-rated health, falls efficacy, and social activities. The results suggest that the goals of care for older people with chronic dizziness should be redirected from solely identifying and treating discrete diseases, toward reducing the symptoms of chronic dizziness and alleviating the resulting physical, psychological and social disability. (RH).
Accession NumberCPA-000824208 A
ClassmarkCTF: K4: 3J: 7T

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