The data of all outpatients and dizziness/vertigo outpatients in the neurological clinic of the West Branch of Beijing Chaoyang Hospital were retrospectively and continuously collected, which included 856 dizziness/vertigo patients aged 19–90 during the epidemic period (from February 1 to May 30, 2020) and 1,436 dizziness/vertigo patients aged 18–92 during the same period in 2019 (from February 1 to May 30, 2019). Does the COVID-19 epidemic affect the occurrence of dizziness/vertigo? This study compared the demographic characteristics and etiological distribution of dizziness/vertigo outpatients in a neurological clinic during the COVID-19 epidemic in 2020 and the same period in 2019 in order to assess the possible relationship between these changes and occurrence of COVID-19.
Dizziness/vertigo as a subjective and non-specific symptom is frequently complained by outpatients in the neurology department, with high incidence and recurrence rates. Moreover, the urgent diversion of medical staff and hospital resources to COVID-19 emergencies inevitably severely compromised normal medical care. During the early phase of the COVID-19 outbreak, people spent less time outdoors, and tried to stay away from public places such as hospitals. Based on those data, health-care management policy for dizziness/vertigo and mental disorder should be developed during the outbreak of COVID-19 and other infective diseases.Īs a sudden acute respiratory infectious disease, coronavirus disease 2019 (COVID-19) imposed such a great impact on public health that people's focus in life underwent tremendous changes overnight. BPPV and psychogenic/PPPD were more abundant, and vascular vertigo was less frequent. The most common cause for young and young-old patients was BPPV, and the most common cause for middle-aged and old-old patients was psychogenic/PPPD.Ĭonclusion: The absolute number of outpatients with dizziness/vertigo during the COVID-19 pandemic was reduced during the early period of the COVID-19 outbreak. In addition, the etiology ratio of different age groups was significantly different ( p < 0.001).
A female predominance was observed in BPPV (women = 67.7%, p < 0.05) and psychogenic/PPPD (women = 67.6%, p < 0.05). During the epidemic, the top three causes of dizziness/vertigo were BPPV (35%), psychogenic/PPPD (34.6%), and vascular vertigo (9.6%). 34.6%, p < 0.05) while a decrease in vascular vertigo during the epidemic (2019 vs. 35%, p < 0.05) and psychogenic/persistent postural perceptual dizziness (PPPD) (2019 vs. There was an increase in benign paroxysmal positional vertigo (BPPV) (2019 vs. The overall etiology distribution was different among all disorders between the two periods ( p < 0.001). Dizziness/vertigo was more common in women than men in these two periods (2019: women = 63.6% 2020: women = 63.1%, p = 0.82). Result: The absolute number of neurological outpatients decreased from 14,670 in 2019 to 8,763 in 2020 (−40.3%), with a corresponding decline in dizziness/vertigo patients (2019: n = 856 2020: n = 1,436, −40.4%). Methods: Against the background of the COVID-19 epidemic, the data of patients who visited the neurological clinic of Beijing Chaoyang Hospital West Branch during the pandemic (February 1–May 30, 2020) and the corresponding period in 2019 (February 1–May 30, 2019) were analyzed, and patients with dizziness/vertigo from these two periods were compared to discover their demographic features and etiologic distribution according to their age and sex. Objective: This study aims to investigate the impact of the coronavirus disease 2019 (COVID-19) epidemic on dizziness/vertigo outpatients in a neurological clinic in China.
3Department of Neurosurgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.2Department of Emergency, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.1Department of Neurology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.Changqing Li 1, Dongsheng Guo 2, Xiangke Ma 3, Siwei Liu 1, Mingyong Liu 1 and Lichun Zhou 1 *
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