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Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far?
The relationship between SARS-CoV-2 infection and dizziness is still unclear. The aim of this study is to assess the prevalence and characteristics of dizziness and vertigo among patients with mild-to-moderate COVID-19. Patients discharged from the emergency rooms with a confirmed SARS-CoV-2 diagnos...
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Published in: | Internal and emergency medicine 2022-08, Vol.17 (5), p.1343-1353 |
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creator | Aldè, Mirko Barozzi, Stefania Di Berardino, Federica Zuccotti, Gianvincenzo Consonni, Dario Ambrosetti, Umberto Socci, Marina Bertoli, Simona Battezzati, Alberto Foppiani, Andrea Zanetti, Diego Pignataro, Lorenzo Cantarella, Giovanna |
description | The relationship between SARS-CoV-2 infection and dizziness is still unclear. The aim of this study is to assess the prevalence and characteristics of dizziness and vertigo among patients with mild-to-moderate COVID-19. Patients discharged from the emergency rooms with a confirmed SARS-CoV-2 diagnosis were assisted by daily telephone calls until nasopharyngeal swab negativization, and specific symptoms concerning balance disorders were investigated through targeted questions posed by experienced physicians. The study included 1512 subjects (765 females, 747 males), with a median age of 51 ± 18.4 years. New-onset dizziness was reported by 251 (16.6%) patients, among whom 110 (43.8%) complained of lightheadedness, 70 (27.9%) of disequilibrium, 41 (16.3%) of presyncope, and 30 (12%) of vertigo. This study analyzed in detail the prevalence and pathophysiological mechanisms of the different types of balance disorders in a large sample, and the results suggest that dizziness should be included among the main symptoms of COVID-19 because one-sixth of patients reported this symptom, with females being significantly more affected than males (20.3 vs 12.9%,
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doi_str_mv | 10.1007/s11739-022-02930-0 |
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P
< 0.001). Most cases of dizziness were attributable to lightheadedness, which was probably exacerbated by psychophysical stress following acute infection and mandatory quarantine. Vertigo should not be underestimated because it might underlie serious vestibular disorders, and disequilibrium in elderly individuals should be monitored due to the possible risk of falls.</description><identifier>ISSN: 1828-0447</identifier><identifier>ISSN: 1970-9366</identifier><identifier>EISSN: 1970-9366</identifier><identifier>DOI: 10.1007/s11739-022-02930-0</identifier><identifier>PMID: 35098491</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Balance ; Coronaviruses ; COVID-19 ; COVID-19 - complications ; COVID-19 - epidemiology ; COVID-19 : diagnosis ; COVID-19 Testing ; Dizziness - epidemiology ; Dizziness - etiology ; Female ; Humans ; Im - Original ; Internal Medicine ; Male ; management and prognosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Prevalence ; Psychophysics ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Vertigo ; Vertigo - complications ; Vertigo - etiology ; Vestibular system</subject><ispartof>Internal and emergency medicine, 2022-08, Vol.17 (5), p.1343-1353</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-b94682c1c34912426ed31912de852c05f33c29dff7b6b5c9d17289268d653bae3</citedby><cites>FETCH-LOGICAL-c474t-b94682c1c34912426ed31912de852c05f33c29dff7b6b5c9d17289268d653bae3</cites><orcidid>0000-0002-2795-9874 ; 0000-0003-2803-7713 ; 0000-0001-6008-3010 ; 0000-0002-8935-3843 ; 0000-0002-4574-2193 ; 0000-0003-1619-5124 ; 0000-0002-8116-4108 ; 0000-0001-5867-8074 ; 0000-0002-5511-8511 ; 0000-0002-4445-910X ; 0000-0001-7514-5624 ; 0000-0003-4134-0557</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35098491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aldè, Mirko</creatorcontrib><creatorcontrib>Barozzi, Stefania</creatorcontrib><creatorcontrib>Di Berardino, Federica</creatorcontrib><creatorcontrib>Zuccotti, Gianvincenzo</creatorcontrib><creatorcontrib>Consonni, Dario</creatorcontrib><creatorcontrib>Ambrosetti, Umberto</creatorcontrib><creatorcontrib>Socci, Marina</creatorcontrib><creatorcontrib>Bertoli, Simona</creatorcontrib><creatorcontrib>Battezzati, Alberto</creatorcontrib><creatorcontrib>Foppiani, Andrea</creatorcontrib><creatorcontrib>Zanetti, Diego</creatorcontrib><creatorcontrib>Pignataro, Lorenzo</creatorcontrib><creatorcontrib>Cantarella, Giovanna</creatorcontrib><title>Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far?</title><title>Internal and emergency medicine</title><addtitle>Intern Emerg Med</addtitle><addtitle>Intern Emerg Med</addtitle><description>The relationship between SARS-CoV-2 infection and dizziness is still unclear. The aim of this study is to assess the prevalence and characteristics of dizziness and vertigo among patients with mild-to-moderate COVID-19. Patients discharged from the emergency rooms with a confirmed SARS-CoV-2 diagnosis were assisted by daily telephone calls until nasopharyngeal swab negativization, and specific symptoms concerning balance disorders were investigated through targeted questions posed by experienced physicians. The study included 1512 subjects (765 females, 747 males), with a median age of 51 ± 18.4 years. New-onset dizziness was reported by 251 (16.6%) patients, among whom 110 (43.8%) complained of lightheadedness, 70 (27.9%) of disequilibrium, 41 (16.3%) of presyncope, and 30 (12%) of vertigo. This study analyzed in detail the prevalence and pathophysiological mechanisms of the different types of balance disorders in a large sample, and the results suggest that dizziness should be included among the main symptoms of COVID-19 because one-sixth of patients reported this symptom, with females being significantly more affected than males (20.3 vs 12.9%,
P
< 0.001). Most cases of dizziness were attributable to lightheadedness, which was probably exacerbated by psychophysical stress following acute infection and mandatory quarantine. Vertigo should not be underestimated because it might underlie serious vestibular disorders, and disequilibrium in elderly individuals should be monitored due to the possible risk of falls.</description><subject>Adult</subject><subject>Aged</subject><subject>Balance</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - complications</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 : diagnosis</subject><subject>COVID-19 Testing</subject><subject>Dizziness - epidemiology</subject><subject>Dizziness - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Im - Original</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>management and prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Psychophysics</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Vertigo</subject><subject>Vertigo - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal and emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aldè, Mirko</au><au>Barozzi, Stefania</au><au>Di Berardino, Federica</au><au>Zuccotti, Gianvincenzo</au><au>Consonni, Dario</au><au>Ambrosetti, Umberto</au><au>Socci, Marina</au><au>Bertoli, Simona</au><au>Battezzati, Alberto</au><au>Foppiani, Andrea</au><au>Zanetti, Diego</au><au>Pignataro, Lorenzo</au><au>Cantarella, Giovanna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far?</atitle><jtitle>Internal and emergency medicine</jtitle><stitle>Intern Emerg Med</stitle><addtitle>Intern Emerg Med</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>17</volume><issue>5</issue><spage>1343</spage><epage>1353</epage><pages>1343-1353</pages><issn>1828-0447</issn><issn>1970-9366</issn><eissn>1970-9366</eissn><abstract>The relationship between SARS-CoV-2 infection and dizziness is still unclear. The aim of this study is to assess the prevalence and characteristics of dizziness and vertigo among patients with mild-to-moderate COVID-19. Patients discharged from the emergency rooms with a confirmed SARS-CoV-2 diagnosis were assisted by daily telephone calls until nasopharyngeal swab negativization, and specific symptoms concerning balance disorders were investigated through targeted questions posed by experienced physicians. The study included 1512 subjects (765 females, 747 males), with a median age of 51 ± 18.4 years. New-onset dizziness was reported by 251 (16.6%) patients, among whom 110 (43.8%) complained of lightheadedness, 70 (27.9%) of disequilibrium, 41 (16.3%) of presyncope, and 30 (12%) of vertigo. This study analyzed in detail the prevalence and pathophysiological mechanisms of the different types of balance disorders in a large sample, and the results suggest that dizziness should be included among the main symptoms of COVID-19 because one-sixth of patients reported this symptom, with females being significantly more affected than males (20.3 vs 12.9%,
P
< 0.001). Most cases of dizziness were attributable to lightheadedness, which was probably exacerbated by psychophysical stress following acute infection and mandatory quarantine. Vertigo should not be underestimated because it might underlie serious vestibular disorders, and disequilibrium in elderly individuals should be monitored due to the possible risk of falls.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35098491</pmid><doi>10.1007/s11739-022-02930-0</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2795-9874</orcidid><orcidid>https://orcid.org/0000-0003-2803-7713</orcidid><orcidid>https://orcid.org/0000-0001-6008-3010</orcidid><orcidid>https://orcid.org/0000-0002-8935-3843</orcidid><orcidid>https://orcid.org/0000-0002-4574-2193</orcidid><orcidid>https://orcid.org/0000-0003-1619-5124</orcidid><orcidid>https://orcid.org/0000-0002-8116-4108</orcidid><orcidid>https://orcid.org/0000-0001-5867-8074</orcidid><orcidid>https://orcid.org/0000-0002-5511-8511</orcidid><orcidid>https://orcid.org/0000-0002-4445-910X</orcidid><orcidid>https://orcid.org/0000-0001-7514-5624</orcidid><orcidid>https://orcid.org/0000-0003-4134-0557</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Balance Coronaviruses COVID-19 COVID-19 - complications COVID-19 - epidemiology COVID-19 : diagnosis COVID-19 Testing Dizziness - epidemiology Dizziness - etiology Female Humans Im - Original Internal Medicine Male management and prognosis Medicine Medicine & Public Health Middle Aged Prevalence Psychophysics SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Vertigo Vertigo - complications Vertigo - etiology Vestibular system |
title | Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far? |
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