PDF(Pubmed)
Abstract：
BACKGROUND: Dizziness/vertigo is one of the most common symptoms for which people seek healthcare. However, the healthcare expenditure attributable to dizziness/vertigo in South Korea remains poorly understood. We investigated the healthcare costs due to six major disorders causing dizziness/vertigo using claims data.
METHODS: The healthcare costs were evaluated using all the claims data submitted to the Health Insurance Review and Assessment Service from January 1 to December 31, 2022. The six major vestibular disorders included for analysis were benign paroxysmal positional vertigo (BPPV), psychogenic/persistent postural perceptual dizziness (PPPD), vascular vertigo/dizziness (VVD), vestibular migraine (VM), Meniere\'s disease (MD), and vestibular neuritis (VN).
RESULTS: During the 1-year study period, 4.1% of adults aged 20 or older visited hospitals due to dizziness/vertigo in South Korea. Compared to the general population, the patients with dizziness/vertigo were more often elderly, female, and residents of small towns. The total healthcare cost for the six major vestibular disorders was ₩547.8 billion (approximately $406.5 million). BPPV incurred the highest annual healthcare cost (₩183.5 billion, 33.5%), followed by VVD (₩158.8 billion, 29.0%), MD (₩82.2 billion, 15.0%), psychogenic/PPPD (₩60.3 billion, 11.0%), VN (₩32.9 billion, 6.0%), and VM (₩30.1 billion, 5.5%). The mean healthcare cost per hospital visit due to dizziness/vertigo was ₩96,524 (95% confidence interval, ₩96,194-₩96,855), 30% higher than the average (₩73,948) of the overall healthcare cost per hospital visit over the same period.
CONCLUSIONS: Owing to higher healthcare costs for dizziness/vertigo and increased prevalence of dizziness/vertigo in the aged population, healthcare costs due to dizziness/vertigo will increase rapidly in South Korea. Thus, a guideline for cost-effective management of dizziness/vertigo should be established to reduce the healthcare costs due to these common symptoms.
METHODS: The healthcare costs were evaluated using all the claims data submitted to the Health Insurance Review and Assessment Service from January 1 to December 31, 2022. The six major vestibular disorders included for analysis were benign paroxysmal positional vertigo (BPPV), psychogenic/persistent postural perceptual dizziness (PPPD), vascular vertigo/dizziness (VVD), vestibular migraine (VM), Meniere\'s disease (MD), and vestibular neuritis (VN).
RESULTS: During the 1-year study period, 4.1% of adults aged 20 or older visited hospitals due to dizziness/vertigo in South Korea. Compared to the general population, the patients with dizziness/vertigo were more often elderly, female, and residents of small towns. The total healthcare cost for the six major vestibular disorders was ₩547.8 billion (approximately $406.5 million). BPPV incurred the highest annual healthcare cost (₩183.5 billion, 33.5%), followed by VVD (₩158.8 billion, 29.0%), MD (₩82.2 billion, 15.0%), psychogenic/PPPD (₩60.3 billion, 11.0%), VN (₩32.9 billion, 6.0%), and VM (₩30.1 billion, 5.5%). The mean healthcare cost per hospital visit due to dizziness/vertigo was ₩96,524 (95% confidence interval, ₩96,194-₩96,855), 30% higher than the average (₩73,948) of the overall healthcare cost per hospital visit over the same period.
CONCLUSIONS: Owing to higher healthcare costs for dizziness/vertigo and increased prevalence of dizziness/vertigo in the aged population, healthcare costs due to dizziness/vertigo will increase rapidly in South Korea. Thus, a guideline for cost-effective management of dizziness/vertigo should be established to reduce the healthcare costs due to these common symptoms.
摘要：
背景：头晕/眩晕是人们寻求医疗保健的最常见症状之一。然而,韩国因头晕/眩晕引起的医疗支出仍然知之甚少。我们使用索赔数据调查了由引起头晕/眩晕的六种主要疾病引起的医疗费用。
方法：使用2022年1月1日至12月31日提交给健康保险审查和评估服务的所有索赔数据评估医疗费用。纳入分析的六种主要前庭疾病为良性阵发性位置性眩晕（BPPV），心理性/持续性姿势知觉头晕（PPPD），血管性眩晕/头晕（VVD），前庭性偏头痛（VM），梅尼埃病（MD），和前庭神经炎（VN）。
结果：在1年的研究期间，在韩国，4.1%的20岁或以上的成年人因头晕/眩晕而去医院就诊。与普通人群相比，头晕/眩晕患者更多是老年人，女性,和小城镇的居民。六种主要前庭疾病的总医疗费用为5478亿英镑（约合4.065亿美元）。BPPV产生了最高的年度医疗保健费用(1835亿英镑，33.5%），其次是VVD(1588亿韩元，29.0%），MD(822亿澳元，15.0%），心理/PPPD(603亿兰特，11.0%），VN（329亿英镑，6.0%），和VM(301亿韩元，5.5%）。由于头晕/眩晕，每次医院就诊的平均医疗费用为96,524(95%置信区间，96,194-96,855)，比同期每次医院就诊的整体医疗费用的平均值(73948英镑)高出30%。
结论：由于头晕/眩晕的医疗费用较高，老年人群头晕/眩晕的患病率增加，在韩国，头晕/眩晕导致的医疗费用将迅速增加。因此，应制定一项治疗头晕/眩晕的成本效益指南,以降低这些常见症状导致的医疗费用.
方法：使用2022年1月1日至12月31日提交给健康保险审查和评估服务的所有索赔数据评估医疗费用。纳入分析的六种主要前庭疾病为良性阵发性位置性眩晕（BPPV），心理性/持续性姿势知觉头晕（PPPD），血管性眩晕/头晕（VVD），前庭性偏头痛（VM），梅尼埃病（MD），和前庭神经炎（VN）。
结果：在1年的研究期间，在韩国，4.1%的20岁或以上的成年人因头晕/眩晕而去医院就诊。与普通人群相比，头晕/眩晕患者更多是老年人，女性,和小城镇的居民。六种主要前庭疾病的总医疗费用为5478亿英镑（约合4.065亿美元）。BPPV产生了最高的年度医疗保健费用(1835亿英镑，33.5%），其次是VVD(1588亿韩元，29.0%），MD(822亿澳元，15.0%），心理/PPPD(603亿兰特，11.0%），VN（329亿英镑，6.0%），和VM(301亿韩元，5.5%）。由于头晕/眩晕，每次医院就诊的平均医疗费用为96,524(95%置信区间，
结论：由于头晕/眩晕的医疗费用较高，老年人群头晕/眩晕的患病率增加，在韩国，头晕/眩晕导致的医疗费用将迅速增加。因此，应制定一项治疗头晕/眩晕的成本效益指南,以降低这些常见症状导致的医疗费用.
