Prevalence and Impact of Vertigo and Dizziness in Adults: A Hospital-Based Evaluation: Vertigo and Dizziness in Adults: A Hospital-Based Evaluation

Amir Hamza; . Ikramullah; Mohammad Azam; Abdul Wahid; Abdul Bari

doi:10.54393/pjhs.v6i8.3141

Authors

Amir Hamza Department of Medicine, Bolan Medical College, Quetta, Pakistan
. Ikramullah Department of ENT, Bolan Medical College, Quetta, Pakistan
Mohammad Azam Department of Medicine, Bolan Medical College, Quetta, Pakistan
Abdul Wahid Department of Medicine, Jhalawan Medical College, Quetta, Pakistan
Abdul Bari Department of Medicine, Jhalawan Medical College, Quetta, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i8.3141

Keywords:

Anxiety, Dizziness, Hypertension, Migraine, Vertigo

Abstract

Vertigo and dizziness are common complaints in adults, often affecting daily functioning and potentially linked to conditions such as hypertension, anxiety, and migraine, highlighting the need for more local data. Objectives: To determine the prevalence of vertigo and dizziness among adults in the local population, assess their impact on daily functioning using the Dizziness Handicap Inventory, and identify associated clinical and demographic risk factors, including hypertension, anxiety, and migraine. Methods: This cross-sectional study was conducted from January 2025 to June 2025 at Bolan Medical College, Quetta and Jhalawan Medical College, Khuzdar, enrolled 371 adults (≥18 years, residing in Quetta or Khuzdar for at least one continuous year, experiencing vertigo/dizziness, and providing consent) via simple random sampling. Data from interviews, records, and DHI assessed demographics, comorbidities, and symptom characteristics. Exclusions included psychiatric/CNS disorders. Analysis (SPSS v25) used descriptive statistics, parameter estimation, chi-square, and logistic regression (p<0.05 significant). Results: The mean age of patients was 42.3 ± 12.7 years. Male were 170 (45.8%) and female 201 (54.2%). Hypertension was found in 123 (33.2%), diabetes mellitus in 77 (20.8%), migraine in 62 (16.7%), and anxiety/depression in 93 (25.1%). The overall mean Dizziness Handicap Inventory score was 48.6 ± 18.4; male had 44.7 ± 17.2 and female 51.8 ± 18.9. Based on the Dizziness Handicap Inventory score, 104 (28.0%) had mild, 193 (52.0%) moderate, and 74 (19.9%) severe symptoms. Conclusions: Dizziness and vertigo are common in adults, often linked to hypertension, anxiety, and migraines. Early diagnosis, screening, and multidisciplinary management help reduce the burden and improve outcomes.

Author Biography

Abdul Wahid, Department of Medicine, Jhalawan Medical College, Quetta, Pakistan

Medicine

Senior Rejistrar

References

Fatima R, Bashir I, Zahid R, Bunyad S, Arshad F, Mehmood B et al. Prevalence of Vertigo in Headphone Users of Call Center of Faisalabad City: Prevalence of Vertigo in Headphone Users of Call Center. Pakistan Journal of Health Sciences. 2022 Nov: 124-8. doi: 0.54393/pjhs.v3i06.296.

Dastgir H, Hashmi A, Asghar M, Zafar MH, Hamid MF. Prevalence of Cervicogenic Vertigo among Patients with Cervical Spondylosis; A Cross Sectional Survey: Prevalence of Cervicogenic Vertigo Among Patients with Cervical Spondylosis. Pakistan BioMedical Journal. 2022 Jun: 116-20. doi: 10.54393/pbmj.v5i6.546.

Hackenberg B, O'Brien K, Döge J, Lackner KJ, Beutel ME, Muenzel T et al. Vertigo and Its Burden of Disease—Results from A Population‐Based Cohort Study. Laryngoscope Investigative Otolaryngology. 2023 Dec; 8(6): 1624-30. doi: doi: 10.1002/lio2.1169.

Hackenberg B, Döge J, Lackner KJ, Beutel ME, Münzel T, Pfeiffer N et al. Hearing Loss and Its Burden of Disease in A Large German Cohort—Hearing Loss in Germany. The Laryngoscope. 2022 Sep; 132(9): 1843-9. doi: 10.1002/lary.29980.

Teggi R, Manfrin M, Balzanelli C, Gatti O, Mura F, Quaglieri S et al. Point Prevalence of Vertigo and Dizziness in A Sample of 2672 Subjects and Correlation with Headaches. Acta Otorhinolaryngologica Italica. 2016 Jun; 36(3): 215. doi: 10.14639/0392-100X-847.

Wassermann A, Finn S, Axer H. Age-Associated Characteristics of Patients with Chronic Dizziness and Vertigo. Journal of Geriatric Psychiatry and Neurology. 2022 Jul; 35(4): 580-5. doi: 10.1177/08919887211036185.

Cao Z, Zhu C, Zhou Y, Wang Y, Chen M, Ju Y et al. Risk Factors Related Balance Disorder for Patients with Dizziness/Vertigo. BioMed Central Neurology. 2021 May; 21(1): 186. doi: 10.1186/s12883-021-02188-7.

Jacobson GP and Newman CW. The Development of the Dizziness Handicap Inventory. Archives of Otolaryngology–Head and Neck Surgery. 1990 Apr; 116(4): 424-7. doi: 10.1001/archotol.1990.01870040046011.

Prell T, Mendorf S, Axer H. Tolerance to Dizziness Intensity Increases with Age in People with Chronic Dizziness. Frontiers in Neurology. 2022 Jul; 13: 934627. doi: 10.3389/fneur.2022.934627.

Palmeri R and Kumar A. Benign Paroxysmal Positional Vertigo. Stat-Pearls Publishing, Treasure Island (FL). 2022 Dec.

Coronel-Touma GS, Monopoli-Roca C, Almeida-Ayerve CN, Marcos-Alonso S, Gómez de la Torre-Morales D, Serradilla-López J et al. Influence of Age and Cardiovascular Risk Factors in Vestibular Neuritis: Retrospective Cohort Study. Journal of Clinical Medicine. 2023 Oct; 12(20): 6544. doi: 10.3390/jcm12206544.

Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J et al. Vestibular Migraine: Diagnostic Criteria (Update) Consensus Document of the Bárány Society and the International Headache Society. Journal of Vestibular Research. 2022 Jan; 32(1): 1-6. doi: 10.3233/VES-201644.

Bae CH, Na HG, Choi YS. Current Diagnosis and Treatment of Vestibular Neuritis: A Narrative Review. Journal of Yeungnam Medical Science. 2022 Apr; 39(2):81-8. doi: 10.12701/yujm.2021.01228.

Jiam NT, Murphy OC, Gold DR, Isanhart E, Sinn DI, Steenerson KK et al. Nonvestibular dizziness. Otolaryngologic Clinics of North America. 2021 Oct; 54(5): 999-1013. doi: 10.1016/j.otc.2021.05.017.

Zwergal A and Dieterich M. Vertigo and Dizziness in the Emergency Room. Current Opinion in Neurology. 2020 Feb; 33(1): 117-25. doi: 10.1097/WCO.0000000000000769.

Sarna B, Abouzari M, Merna C, Jamshidi S, Saber T, Djalilian HR. Perilymphatic Fistula: A Review of Classification, Etiology, Diagnosis, and Treatment. Frontiers in Neurology. 2020 Sep; 11: 1046. doi: 10.3389/fneur.2020.01046.

Edlow JA, Carpenter C, Akhter M, Khoujah D, Marcolini E, Meurer WJ et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department 3 (GRACE‐3): Acute Dizziness and Vertigo in the Emergency Department. Academic Emergency Medicine. 2023 May; 30(5): 442-86. doi: 10.1111/acem.14728.

Baig MN, Kapadia N, Raheem A, Ismail M. Frequency of Neuro-Imaging in the Emergency Room in Patients with Vertigo: A Cross-Sectional Study at a Tertiary Care Hospital in Karachi, Pakistan. Pakistan Journal of Medical Sciences. 2024 Mar; 40(4): 582. doi: 10.12669/pjms.40.4.7029.

Ruthberg JS, Rasendran C, Kocharyan A, Mowry SE, Otteson TD. The economic burden of vertigo and dizziness in the United States. Journal of Vestibular Research. 2021 Mar; 31(2): 81-90. doi: 10.3233/VES-201531.

Ahmed A, Aqeel M, Naeem Aslam BA. A Cross-Sectional Study to Understand the Pervasiveness of Psychiatric Features among Tinnitus and Vertigo Patients. Anxiety. 2021; 78: 38.