基于韩国人口数据的外周性前庭疾病的季节性变化

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY Laryngoscope Investigative Otolaryngology Pub Date : 2024-05-09 DOI:10.1002/lio2.1254

Junhui Jeong MD, PhD, Tae Mi Youk MS, Hyun Taek Jung MD, Hyun Seung Choi MD

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引用次数: 0

摘要

目的利用整个人口的数据来评估外周前庭疾病的季节性变化的综合研究还不够充分。本研究根据韩国全体人口的数据，对外周性前庭疾病的季节性变化进行了调查。方法对韩国国民健康保险服务局 2008 年至 2020 年的回顾性数据进行分析。良性阵发性位置性眩晕（BPPV）、前庭神经炎（VN）和梅尼埃病（MD）是根据诊断、治疗或听觉前庭测试代码定义的。计算了所有研究对象中每种外周性前庭疾病的季节性发病率。结果在整个研究队列中，BPPV 的发病率在春季（比值比 [OR] = 1.031，95% 置信区间 [CI] = 1.026-1.037）、秋季（比值比 [OR] = 1.024，95% 置信区间 [CI] = 1.019-1.029）和冬季（比值比 [OR] = 1.051，95% 置信区间 [CI] = 1.046-1.056）明显高于夏季。VN 的发病率在冬季（OR = 0.917，95% CI = 0.907-0.927）明显低于夏季。MD的发病率在春季（OR = 1.027，95% CI = 1.015-1.039）和秋季（OR = 1.029，95% CI = 1.017-1.041）明显高于夏季，而在冬季（OR = 0.919，95% CI = 0.908-0.931）明显低于夏季。性别和年龄的季节性变化也存在差异。结论根据整个韩国人口的数据，包括BPPV、VN和MD在内的外周前庭疾病存在显著的季节性变化。此外，季节性变化在性别和年龄上也存在差异。证据等级 4。

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Seasonal variation in peripheral vestibular disorders based on Korean population data

Objectives

Comprehensive studies in which the seasonal variation in peripheral vestibular disorders was evaluated using data from an entire population are insufficient. The seasonal variation in peripheral vestibular disorders based on data from the entire Korean population was investigated in the present study.

Methods

Retrospective data from the National Health Insurance Service of Korea from 2008 to 2020 was analyzed. Benign paroxysmal positional vertigo (BPPV), vestibular neuritis (VN), and Meniere's disease (MD) were defined based on diagnostic, treatment, or audiovestibular test codes. The seasonal incidence for each peripheral vestibular disorder was calculated among all study subjects.

Results

For the entire study cohort, the incidence of BPPV was significantly higher in spring (odds ratio [OR] = 1.031, 95% confidence interval [CI] = 1.026–1.037), autumn (OR = 1.024, 95% CI = 1.019–1.029), and winter (OR = 1.051, 95% CI = 1.046–1.056) than in summer. The incidence of VN was significantly lower in winter (OR = 0.917, 95% CI = 0.907–0.927) than in summer. The incidence of MD was significantly higher in spring (OR = 1.027, 95% CI = 1.015–1.039) and autumn (OR = 1.029, 95% CI = 1.017–1.041) and significantly lower in winter (OR = 0.919, 95% CI = 0.908–0.931) than in summer. Differences were also observed in seasonal variation based on sex and age.

Conclusions

Significant seasonal variation occurred in peripheral vestibular disorders including BPPV, VN, and MD based on the entire Korean population data. Furthermore, seasonal variation showed differences based on sex and age.