Assessment of quality of life in hispanic patients with vestibular disorders using EQ-5D 3L, VAS and Dizziness Handicap Inventory Questionnaire

Abstract

Abstract Background: Vestibular disorders often lead to physical impairments, an increased risk of falls, elevated rates of anxiety and depression, and a significant reduction in quality of life (QoL). While previous studies have consistently documented the adverse effects of vestibular disorders on QoL, limited research has employed uniform tools like the EQ-5D 3L to assess these effects across different vestibular conditions. This study aimed to bridge this gap by investigating Hispanic/Latin patients with acute, episodic and chronic vestibular disorders, using the EQ-5D 3L and VAS questionnaire and Dizziness Handicap Inventory. Methods: A Cross-sectional study was conducted across three specialized vertigo and dizziness centers in Mexico City, Guadalajara, and Medellín. Patients diagnosed with vestibular disorders were administered the EQ-5D-3L, EQ VAS, and Dizziness Handicap Inventory (DHI) questionnaires. Results: A substantial negative impact on QoL, with mobility impairment, self-care difficulties, and challenges in performing daily activities affecting a significant proportion of patients. The study found no significant differences in EQ-5D and VAS scores between females and males with vestibular disorders, and patients with acute and episodic vestibular syndromes exhibited comparable scores. In contrast, patients with chronic vestibular syndromes showed significantly lower EQ-5D and VAS scores. Additionally, lower scores on the DHI were observed in patients with episodic and chronic vestibular syndromes, further indicating the profound effect of these conditions on QoL. Conclusion: This study underscores the significant and diverse impact of vestibular disorders on the QoL of Hispanic/Latin patients and highlights the importance of using standardized tools like the EQ-5D 3L for comprehensive assessment.