Denge Bozukluğu Bulunan COVID-19 Hastalarının Baş Dönmesi Engellilik Envanteri ile Değerlendirilmesi

Abstract

Amaç: Koronavirüs Hastalığı 2019 (COVID-19) ajanı olan Şiddetli Akut Solunum Sendromu-Koronovirüs-2 (SARS-CoV-2), hızla gelişen yapısı nedeniyle vücuttaki birçok sistemi etkilemekte ve her geçen gün yeni bulgular oluşturmaktadır. Denge kaybı, son zamanlarda COVID-19'un klinik bir belirtisi olarak tanımlanmaya başlandı. Bu çalışmada, hastalığın aktif döneminde COVID-19 olan ve denge sorunları yaşayan hastalara “Baş Dönmesi Engellilik Envanteri” uygulanarak yaşam kalitesi üzerine etkileri ve hastalığın derecesi arasındaki ilişki araştırılmıştır. Gereç ve Yöntemler: COVID-19 hastaları hastane kayıt sisteminden dijital olarak taranarak tespit edildi ve "Google anket" bağlantısı gönderilerek ankete katılmaları istendi. Ankete geri dönen ve tüm soruları cevaplayan hastalar çalışmaya dahil edildi ve elde edilen veriler istatistiksel olarak değerlendirildi. Bulgular: Anketteki tüm soruları yanıtlayan 64 hasta çalışmaya dahil edildi. Çalışmaya en sık 35-44 ve 45-54 yaşları arasındaki hastalar katıldı. Toplam envanter puanı ortalaması tüm hastalarda 35.90 ± 24.30 (min. 4-maks. 88) idi. Envanter skor ortalamaları, hastaneye yatırılan ve BT'de anlamlı patolojisi olanlarda daha yüksekti ve istatistiksel olarak anlamlı fark bulundu (p <0.05). Sonuç: COVID-19 hastalarının dengesizlik semptomları gösterebileceği akılda tutulmalı ve yaşlılarda düşmelerin önlenmesi ve baş dönmesi için semptomatik tedavi eklenmesi gibi gerekli önlemler alınmalıdır.

Keywords

• COVID-19
• Dizziness
• Baş Dönmesi
• Baş Dönmesi Engellilik Anketi

Evaluation of COVID-19 Patients Complaining of Balance Disorders with the Dizziness Handicap Inventory

Abstract

Objective: Severe Acute Respiratory Syndrome-Coronovirus-2 (SARS-CoV-2), the Coronavirus Disease 2019 (COVID-19) agent, affects many systems in the body due to its rapidly developing nature and creates new findings every day. Loss of balance has recently begun to be identified as a clinical manifestation of COVID-19. In this study, the effects on the quality of life and the relationship between the degree of the disease were investigated by applying the “Dizziness Handicap Inventory” to patients who had COVID-19 and experienced balance problems during the active phase of the disease. Materials and Methods: Patients with COVID-19 were identified by being scanned digitally from the hospital registration system, and they were asked to participate in the survey by sending a "Google questionnaire" link. Patients who returned to the questionnaire and answered all questions were included in the study, and the data obtained were evaluated statistically. Results: Sixty four patients who answered all questions in the questionnaire were included in the study. Patients between the ages of 35-44 and 45-54 most frequently participated in the study. The mean for total inventory score was 35.90 ± 24.30 (min. 4-max. 88) in all patients. The inventory score means were higher in patients who were hospitalized and those with significant pathology on CT, and a statistically significant difference was also found (p<0.05). Conclusion: It should be kept in mind patients with COVID-19 may show disequilibrium symptoms and necessary precautions like prevention of falls in the elderly and additions of symptomatic treatment for dizziness should be considered.

Keywords

• COVID-19
• Dizziness
• Vertigo
• Dizziness Handicap Inventory

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