Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study
Objectives/Hypothesis This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo. Study Design Case–control study. Methods Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with pe...
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| Veröffentlicht in: | The Laryngoscope 2021-02, Vol.131 (2), p.E625-E630 |
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| container_title | The Laryngoscope |
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| creator | Yang, Tzong‐Hann Xirasagar, Sudha Cheng, Yen‐Fu Kuo, Nai‐Wen Lin, Herng‐Ching |
| description | Objectives/Hypothesis
This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo.
Study Design
Case–control study.
Methods
Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls.
Results
Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P |
| doi_str_mv | 10.1002/lary.28715 |
| format | Article |
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This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo.
Study Design
Case–control study.
Methods
Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls.
Results
Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712).
Conclusions
CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years.
Level of Evidence
2b Laryngoscope, 131:E625–E630, 2021</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.28715</identifier><identifier>PMID: 32396217</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>age ; Cardiovascular disease ; Case-Control Studies ; Cervical spondylosis ; Cervical Vertebrae ; epidemiology ; Female ; Humans ; Laryngoscopy ; Logistic Models ; Male ; Middle Aged ; Propensity Score ; Risk Factors ; Spondylosis - complications ; vertigo ; Vertigo - etiology</subject><ispartof>The Laryngoscope, 2021-02, Vol.131 (2), p.E625-E630</ispartof><rights>2020 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2021 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3575-eadd4802850a12d69607dea21683881f208f0619478d40a7e98fa7eec8c2671d3</citedby><cites>FETCH-LOGICAL-c3575-eadd4802850a12d69607dea21683881f208f0619478d40a7e98fa7eec8c2671d3</cites><orcidid>0000-0003-4661-959X ; 0000-0003-1995-5854</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.28715$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.28715$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32396217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Tzong‐Hann</creatorcontrib><creatorcontrib>Xirasagar, Sudha</creatorcontrib><creatorcontrib>Cheng, Yen‐Fu</creatorcontrib><creatorcontrib>Kuo, Nai‐Wen</creatorcontrib><creatorcontrib>Lin, Herng‐Ching</creatorcontrib><title>Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo.
Study Design
Case–control study.
Methods
Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls.
Results
Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712).
Conclusions
CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years.
Level of Evidence
2b Laryngoscope, 131:E625–E630, 2021</description><subject>age</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>Cervical spondylosis</subject><subject>Cervical Vertebrae</subject><subject>epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Laryngoscopy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Propensity Score</subject><subject>Risk Factors</subject><subject>Spondylosis - complications</subject><subject>vertigo</subject><subject>Vertigo - etiology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtOwzAQhi0EoqWw4QAoEhuElOJHEjvsooiXVAlEea4iEzvUVRoHOwFlxx24ISfBJYUFC2Yxs5hvfo0-AHYRHCMI8VHJTTfGjKJwDQxRSJAfxHG4DoZuSXwW4ocB2LJ2DiGiJISbYEAwiSOM6BBME2t1rnijdOXpwkuleVU5L71prSvRldoq692rZuZdSaPqmTRudydNo571sZd4Kbfy8_0j1VVjtLtqWtFtg42Cl1burOYI3J6e3KTn_uTy7CJNJn5OQhr6kgsRMIhZCDnCIoojSIXkGEWMMIYKDFkBIxQHlIkAcipjVrguc5bjiCJBRuCgz62NfmmlbbKFsrksS15J3doMBxAx58PVCOz_Qee6NZX7zlE0YoxELHbUYU_lRltrZJHVRi2c3QzBbKk6W6rOvlU7eG8V2T4tpPhFf9w6APXAmypl909UNkmuH_vQL2xOiMU</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Yang, Tzong‐Hann</creator><creator>Xirasagar, Sudha</creator><creator>Cheng, Yen‐Fu</creator><creator>Kuo, Nai‐Wen</creator><creator>Lin, Herng‐Ching</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4661-959X</orcidid><orcidid>https://orcid.org/0000-0003-1995-5854</orcidid></search><sort><creationdate>202102</creationdate><title>Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study</title><author>Yang, Tzong‐Hann ; Xirasagar, Sudha ; Cheng, Yen‐Fu ; Kuo, Nai‐Wen ; Lin, Herng‐Ching</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3575-eadd4802850a12d69607dea21683881f208f0619478d40a7e98fa7eec8c2671d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>age</topic><topic>Cardiovascular disease</topic><topic>Case-Control Studies</topic><topic>Cervical spondylosis</topic><topic>Cervical Vertebrae</topic><topic>epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Laryngoscopy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Propensity Score</topic><topic>Risk Factors</topic><topic>Spondylosis - complications</topic><topic>vertigo</topic><topic>Vertigo - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Tzong‐Hann</creatorcontrib><creatorcontrib>Xirasagar, Sudha</creatorcontrib><creatorcontrib>Cheng, Yen‐Fu</creatorcontrib><creatorcontrib>Kuo, Nai‐Wen</creatorcontrib><creatorcontrib>Lin, Herng‐Ching</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Tzong‐Hann</au><au>Xirasagar, Sudha</au><au>Cheng, Yen‐Fu</au><au>Kuo, Nai‐Wen</au><au>Lin, Herng‐Ching</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2021-02</date><risdate>2021</risdate><volume>131</volume><issue>2</issue><spage>E625</spage><epage>E630</epage><pages>E625-E630</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo.
Study Design
Case–control study.
Methods
Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls.
Results
Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712).
Conclusions
CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years.
Level of Evidence
2b Laryngoscope, 131:E625–E630, 2021</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32396217</pmid><doi>10.1002/lary.28715</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4661-959X</orcidid><orcidid>https://orcid.org/0000-0003-1995-5854</orcidid></addata></record> |
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| subjects | age Cardiovascular disease Case-Control Studies Cervical spondylosis Cervical Vertebrae epidemiology Female Humans Laryngoscopy Logistic Models Male Middle Aged Propensity Score Risk Factors Spondylosis - complications vertigo Vertigo - etiology |
| title | Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study |
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