Optimizing vestibular neuritis management with modular strategies
ObjectiveThis study proposes a “modular management” approach for vestibular neuritis (VN) to reduce chronicization and improve patient prognosis. The approach involves multi-factor grading and hierarchical intervention and was found to be more effective than traditional treatment strategies.MethodsT...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1243034/full |
| _version_ | 1797685488628269056 |
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| author | Fei Li Jin Xu Dan Liu Dan Liu Jun Wang Jun Wang Lingmei Lu Rui Gao Xiaowen Zhou Jianhua Zhuang Sulin Zhang Sulin Zhang |
| author_facet | Fei Li Jin Xu Dan Liu Dan Liu Jun Wang Jun Wang Lingmei Lu Rui Gao Xiaowen Zhou Jianhua Zhuang Sulin Zhang Sulin Zhang |
| author_sort | Fei Li |
| collection | DOAJ |
| description | ObjectiveThis study proposes a “modular management” approach for vestibular neuritis (VN) to reduce chronicization and improve patient prognosis. The approach involves multi-factor grading and hierarchical intervention and was found to be more effective than traditional treatment strategies.MethodsThis retrospective analysis compared two groups of VN patients from two medical institutions. The intervention group of 52 patients received “modular management,” while the control group of 51 patients did not receive this kind of management. Analyzed the early treatment strategies, 6-month prognosis, and other indicators of the two groups of patients, compared and analyzed their overall prognosis, and identified the risk factors affecting the chronicization.ResultsThe modular management group had lower dizziness severity, better balance, lower anxiety, and higher video head impulse testing (v-HIT) gain after 6 months of onset. Analysis of factors related to persistent postural-perceptual dizziness (PPPD) in patients with VN showed positive correlations between the time from onset to diagnosis and PPPD, and Vertigo Symptom Scale (VSS), Dizziness Handicap Inventory (DHI), anxiety, and depression. Normalized vestibular rehabilitation was negatively correlated with PPPD, while gender, age, and early steroid use had no significant correlation. The multi-factor logistic regression model correctly classified 93.20% of the study subjects with a sensitivity of 87.50% and specificity of 94.90%.ConclusionThe proposed “modular management” scheme for VN is a comprehensive and dynamic approach that includes health education, assessment, rehabilitation, therapy, evaluation, and prevention. It can significantly improve patient prognosis and reduce chronicization by shifting from simple acute treatment to continuous management. |
| first_indexed | 2024-03-12T00:44:53Z |
| format | Article |
| id | doaj.art-2e9f8830b52744d0aa4e7d412a89882f |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T00:44:53Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-2e9f8830b52744d0aa4e7d412a89882f2023-09-14T18:00:54ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12430341243034Optimizing vestibular neuritis management with modular strategiesFei Li0Jin Xu1Dan Liu2Dan Liu3Jun Wang4Jun Wang5Lingmei Lu6Rui Gao7Xiaowen Zhou8Jianhua Zhuang9Sulin Zhang10Sulin Zhang11Department of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, ChinaDepartment of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Qidong People's Hospital, Qidong Liver Cancer Institute, Affiliated Qidong Hospital of Nantong University, Qidong, ChinaDepartment of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, ChinaDepartment of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, ChinaDepartment of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaObjectiveThis study proposes a “modular management” approach for vestibular neuritis (VN) to reduce chronicization and improve patient prognosis. The approach involves multi-factor grading and hierarchical intervention and was found to be more effective than traditional treatment strategies.MethodsThis retrospective analysis compared two groups of VN patients from two medical institutions. The intervention group of 52 patients received “modular management,” while the control group of 51 patients did not receive this kind of management. Analyzed the early treatment strategies, 6-month prognosis, and other indicators of the two groups of patients, compared and analyzed their overall prognosis, and identified the risk factors affecting the chronicization.ResultsThe modular management group had lower dizziness severity, better balance, lower anxiety, and higher video head impulse testing (v-HIT) gain after 6 months of onset. Analysis of factors related to persistent postural-perceptual dizziness (PPPD) in patients with VN showed positive correlations between the time from onset to diagnosis and PPPD, and Vertigo Symptom Scale (VSS), Dizziness Handicap Inventory (DHI), anxiety, and depression. Normalized vestibular rehabilitation was negatively correlated with PPPD, while gender, age, and early steroid use had no significant correlation. The multi-factor logistic regression model correctly classified 93.20% of the study subjects with a sensitivity of 87.50% and specificity of 94.90%.ConclusionThe proposed “modular management” scheme for VN is a comprehensive and dynamic approach that includes health education, assessment, rehabilitation, therapy, evaluation, and prevention. It can significantly improve patient prognosis and reduce chronicization by shifting from simple acute treatment to continuous management.https://www.frontiersin.org/articles/10.3389/fneur.2023.1243034/fullvestibular neuritismodular managementrisk factorinterventionprognosis |
| spellingShingle | Fei Li Jin Xu Dan Liu Dan Liu Jun Wang Jun Wang Lingmei Lu Rui Gao Xiaowen Zhou Jianhua Zhuang Sulin Zhang Sulin Zhang Optimizing vestibular neuritis management with modular strategies Frontiers in Neurology vestibular neuritis modular management risk factor intervention prognosis |
| title | Optimizing vestibular neuritis management with modular strategies |
| title_full | Optimizing vestibular neuritis management with modular strategies |
| title_fullStr | Optimizing vestibular neuritis management with modular strategies |
| title_full_unstemmed | Optimizing vestibular neuritis management with modular strategies |
| title_short | Optimizing vestibular neuritis management with modular strategies |
| title_sort | optimizing vestibular neuritis management with modular strategies |
| topic | vestibular neuritis modular management risk factor intervention prognosis |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1243034/full |
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