{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:12:57Z","timestamp":1780935177309,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T00:00:00Z","timestamp":1355184000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001826","name":"Netherlands Organisation for Health Research and Development","doi-asserted-by":"crossref","award":["4200.0018"],"award-info":[{"award-number":["4200.0018"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the 6\u2010month functional prognosis of dizziness in older adults in primary care, to identify important predictors of dizziness\u2010related impairment, and to construct a score to assist risk prediction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study with 6\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Twenty\u2010four primary care practices in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Four hundred seventeen older adults (mean age 78.5, range 65\u201395, 74% female) presenting consecutively to primary care with dizziness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Tests, including history and physical and additional examination, previously selected by an international expert panel and based on an earlier systematic review, were performed. The main outcome measure was 6\u2010month dizziness\u2010related impairment score measured using the Dizziness Handicap Inventory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Follow\u2010up was complete for 92% of participants. Although 61% of participants experienced less impairment at 6\u00a0months, 130 participants (34%) showed persistent dizziness\u2010related impairment. Factors most predictive of dizziness\u2010related impairment at 6\u00a0months were onset of dizziness at least 6\u00a0months before inclusion, standing still as a dizziness\u2010provoking circumstance, trouble with walking or (almost) falling (associated symptom), polypharmacy, absence of diabetes mellitus, presence of anxiety or depressive disorder, and impaired functional mobility. A score was constructed using these predictors to estimate the functional prognosis of dizziness at 6\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A score based on the presence of easily obtainable clinical information facilitates identification of older adults in primary care with poor functional prognosis of their dizziness without exactly knowing the cause(s) of their dizziness. Clinical management might be most effective by treating factors that can be influenced, such as polypharmacy, anxiety and depression, and functional mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12031","type":"journal-article","created":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T10:35:51Z","timestamp":1355222151000},"page":"2263-2269","source":"Crossref","is-referenced-by-count":37,"title":["Functional Prognosis of Dizziness in Older Adults in Primary Care: A Prospective Cohort Study"],"prefix":"10.1111","volume":"60","author":[{"given":"Jacquelien","family":"Dros","sequence":"first","affiliation":[{"name":"Department of Family Medicine Academic Medical Center University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Otto R.","family":"Maarsingh","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and EMGO Institute for Health and Care Research VU University Medical Center Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Beem","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Academic Medical Center University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri\u00ebtte E.","family":"van der Horst","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and EMGO Institute for Health and Care Research VU University Medical Center Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerben ter","family":"Riet","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Academic Medical Center University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois G.","family":"Schellevis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henk C. 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