Abstract：
Chronic dizziness can cause significant functional impairment. Outcome measures used in this patient population have not been examined systematically. Consequently, providers lack consensus on the ideal outcome measures to assess the impact of their interventions.
We conducted a scoping review to summarize existing literature on outcomes in chronic dizziness (with a minimum of 6 mo of patient follow-up). Among other details, we extracted and analyzed patient demographics, medical condition(s), and the specific outcome measures of each study.
Of 19,426 articles meeting the original search terms, 416 met final exclusion after title/abstract and full-text review. Most studies focused on Ménière\'s disease (75%) and recurrent benign paroxysmal positional vertigo (21%). The most common outcome measures were hearing (62%) and number of attacks by American Academy of Otolaryngology-Head & Neck Surgery criteria (60%). A minority (35%) looked formally at quality-of-life metrics (Dizziness Handicap Index or other).
Ménière\'s disease and benign paroxysmal positional vertigo are overrepresented in literature on outcome assessment in chronic dizziness. Objective clinical measures are used more frequently than quality-of-life metrics. Future work is needed to identify the optimal outcome measures that reflect new knowledge about the most common causes of chronic dizziness (including persistent postural-perceptual dizziness and vestibular migraine) and consider what is most important to patients.
We conducted a scoping review to summarize existing literature on outcomes in chronic dizziness (with a minimum of 6 mo of patient follow-up). Among other details, we extracted and analyzed patient demographics, medical condition(s), and the specific outcome measures of each study.
Of 19,426 articles meeting the original search terms, 416 met final exclusion after title/abstract and full-text review. Most studies focused on Ménière\'s disease (75%) and recurrent benign paroxysmal positional vertigo (21%). The most common outcome measures were hearing (62%) and number of attacks by American Academy of Otolaryngology-Head & Neck Surgery criteria (60%). A minority (35%) looked formally at quality-of-life metrics (Dizziness Handicap Index or other).
Ménière\'s disease and benign paroxysmal positional vertigo are overrepresented in literature on outcome assessment in chronic dizziness. Objective clinical measures are used more frequently than quality-of-life metrics. Future work is needed to identify the optimal outcome measures that reflect new knowledge about the most common causes of chronic dizziness (including persistent postural-perceptual dizziness and vestibular migraine) and consider what is most important to patients.
摘要：
背景：慢性头晕可导致显著的功能损害。尚未系统地检查该患者人群中使用的结局指标。因此,提供者对评估其干预措施影响的理想结果措施缺乏共识。
目的：我们进行了范围审查，以总结现有的关于慢性头晕结局的文献（至少6个月的患者随访）。在其他细节中，我们提取并分析了病人的人口统计，医疗状况，以及每项研究的具体结果指标。
结果：在符合原始搜索条件的19,426篇文章中，416在标题/摘要和全文审查后达到最终排除。大多数研究集中在梅尼埃病（75％）和复发性良性阵发性位置性眩晕（21％）。最常见的结果指标是听力（62％）和美国耳鼻咽喉头颈外科学会标准的发作次数（60％）。少数人(35%)正式关注生活质量指标(头晕障碍指数或其他)。
结论：Ménière病和良性阵发性位置性眩晕在慢性头晕的预后评估文献中的比例过高。客观的临床测量比生活质量指标更频繁地使用。未来的工作需要确定最佳的结果指标，以反映有关慢性头晕的最常见原因（包括持续的姿势知觉头晕和前庭性偏头痛）的新知识，并考虑对患者最重要的因素。
目的：我们进行了范围审查，以总结现有的关于慢性头晕结局的文献（至少6个月的患者随访）。在其他细节中，我们提取并分析了病人的人口统计，医疗状况，以及每项研究的具体结果指标。
结果：在符合原始搜索条件的19,426篇文章中，416在标题/摘要和全文审查后达到最终排除。大多数研究集中在梅尼埃病（75％）和复发性良性阵发性位置性眩晕（21％）。最常见的结果指标是听力（62％）和美国耳鼻咽喉头颈外科学会标准的发作次数（60％）。少数人(35%)正式关注生活质量指标(头晕障碍指数或其他)。
结论：Ménière病和良性阵发性位置性眩晕在慢性头晕的预后评估文献中的比例过高。客观的临床测量比生活质量指标更频繁地使用。未来的工作需要确定最佳的结果指标，以反映有关慢性头晕的最常见原因（包括持续的姿势知觉头晕和前庭性偏头痛）的新知识，并考虑对患者最重要的因素。
