Skip to main content
OpenTrials
Recruiting

NCT Number: NCT06643702

Prevalence av BPPV Among Elderly in Primary Care

This study aims to investigate whether positional tests should be routinely performed on all elderly patients (65 years and older) presenting to primary care with symptoms of acute, episodic, or chronic dizziness or vertigo, unsteadiness, imbalance, and/or an increased tendency to fall in the past 12 months. Study aims to investigate whether diagnostic maneuvers should be performed regardless of the presence of conventional positional vertigo presentation associated with classical cases of benign paroxysmal positional vertigo (BPPV). Specifically, the study aims to identify "hidden" cases of BPPV and assess the potential benefits of clinical screening and initial treatment of BPPV in primary care setting thus improving the BPPV-related quality of life and reducing the risk of falls in the elderly population.

Recruiting

Interested in participating?

Request Info

Key information

Conditions

Benign Paroxysmal Positional Vertigo (BPPV) Benign Paroxysmal Positional Vertigo Ear Diseases Labyrinth Diseases Nervous System Diseases Neurologic Manifestations Otorhinolaryngologic Diseases Pathological Conditions, Signs and Symptoms Signs and Symptoms Vertigo Vestibular Diseases

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Boo health center

Saltsjö-Boo, Stockholm County, 13230, Sweden

Location status: Recruiting

Location contact

Emilija Rackauskaite

PRINCIPAL_INVESTIGATOR

Maria Ahlmark, Operations manager

CONTACT

[email protected]

+ 46812338228

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients aged 65 years or older and present to the primary care clinic with one or several of the following:

  • Acute, episodic, or chronic sensation of dizziness/vertigo.
  • Subjective or objective imbalance during stance or movements.
  • Presented with increased tendency of falls by exhibiting unintentional loss of balance resulting in a fall one or more times in the past 12 months.

Exclusion criteria

  • Patients not meeting the above epidemiological and medical criteria described under "Inclusion Criteria".
  • Patients presenting with pathologies in which head and neck movements/manipulations are contraindicated, including (but not limited to): cervical instability, acute head and neck trauma, known cervical disk prolapse, Arnold-Chiari malformation, vascular pathologies such as carotid sinus syncope, vascular dissection and vertebrobasilarinsufficiency, including patients with paralysis as well as those with reduced mobility, in whom diagnostic maneuvers cannot be correctly performed.

Treatment and study plan

Primary outcomes

  1. What is the overall prevalence of BPPV among elderly patients (65 years and older) presenting with symptoms of dizziness, vertigo, unsteadiness, imbalance, or an increased tendency to fall in primary care setting?

    Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).

Secondary outcomes

  1. What is the prevalence of benign paroxysmal positional vertigo among elderly patients seeking primary care for dizziness, unsteadiness, balance problems and/or an increased tendency to fall but not reporting conventional BPPV symptoms?

    Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).

    Outcome aims to identify prevalence of so-called hidden cases of BPPV.

  2. What is the prevalence of benign paroxysmal positional vertigo among elderly patients seeking primary care for clear and well defined positional vertigo associated with conventional BPPV presentation?

    Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).

    Outcome aims to identify prevalence of so-called classical cases of BPPV.

  3. What are the differences in demographic, clinical and life-quality results between BPPV-positive and BPPV-negative groups?

    Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).

    This outcome aims to evaluate differences between the two following patient groups: patients who present with symptoms but have no BPPV and patients who test positive for BPPV. Metrics that are analysed are: demographic information; current and previous diseases; current medications; frailty; Downtown fall risk index; fall risk according to "World guidelines for falls prevention and management for older adults: a global initiative", DHI-scores, TUG-test results, Dix-Hallpike-test result. Above mentioned metrics are not analysed between each other, instead the analysis is done for each metric between the two patient groups.

  4. What are the differences in clinical and life-quality outcomes between so-called "classical" BPPV-cases and "hidden" BPPV-cases before and after treatment?

    Time frame: From enrollment to the follow-up visit 2 weeks later in BPPV positive cases (only one visit for negative cases).

    This outcome aims to evaluate differences in following patient groups: patients who present with conventional BPPV-related symptoms and test positive for BPPV and patients who present with more diffuse symptoms and experience imbalance in during stance or movements or have fallen in the past year and do not report the conventional BPPV symptoms but test positive for BPPV.

    Metrics that are analysed are: demographic information; current and previous diseases; current medications; frailty; Downtown fall risk index; fall risk according to "World guidelines for falls prevention and management for older adults: a global initiative", DHI-scores upon first visit and follow-up visit, TUG-test results, Dix-Hallpike-test result upon upon first visit and follow-up visit; referral status. Above mentioned metrics are not analysed between each other, instead the analysis is done for each metric between the two mentioned patient groups.

Study contacts

Contact information is provided by the study sponsor or research team.

Emilija Rackauskaite

CONTACT

[email protected]

+46723965492

Sponsors and collaborators

Lead sponsor

Region Stockholm

Other Gov

Collaborators

  • Karolinska Institutet

Registry information

Official study title

Screening for Benign Paroxysmal Positional Vertigo in Primary Care Among Elderly Presenting With Dizziness, Imbalance, and Increased Tendency to Fall

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Oct 16, 2024
Registry last updated
Oct 28, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.