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- Title
The global prevalence of vestibular dysfunction in children and adolescents: a systematic review and meta-analysis.
- Authors
Saniasiaya, Jeyasakthy; Islam, Md. Asiful; Salim, Rosdan
- Abstract
Background: Vestibular dysfunction has been extensively studied amongst the older population. Recently, conditions and management of vestibular dysfunction among children and adolescent has gained attention. Yet, a lack of awareness and expertise in managing children and adolescents with vestibular dysfunction has led to a delay in diagnosis as well as a trifling prevalence rate. Aim: To conduct a systematic review and meta-analyses to estimate the overall pooled prevalence of vestibular dysfunction in children and adolescents. Methods: PubMed, Scopus, and Web of Science databases were searched to identify studies published until 29 April 2022. We used a random‐effects model to estimate the pooled prevalence with 95% confidence intervals (CIs). Heterogeneity was assessed using the I2 statistic and Cochran's Q test. The robustness of the pooled estimates was checked by different subgroups and sensitivity analyses. Results: We identified 1811 studies, of which 39 studies (n = 323,663) were included in the meta‐analysis. Overall, the pooled prevalence of children and adolescents with VD was 30.4% [95% CI 28.5–32.3%]. The age of the participants ranged from 1 to 19 years. Participants of the included 39 studies were from 15 countries. Among the studies, 34 were cross-sectional, and five were case–control designed. There were discrepancies found in the studies with objective (higher prevalence) versus subjective (lower prevalence) evaluations. Conclusion: The prevalence of VD among children and adolescents was found to be 30.4% based on high-quality evidence. Due to the subjective assessment of most studies pooled in the analysis, the results should be interpreted cautiously until future comparative studies with objective assessments are carried out.
- Subjects
TEENAGERS; SCIENCE databases; WEB databases; DELAYED diagnosis; DATABASE searching
- Publication
European Archives of Oto-Rhino-Laryngology, 2023, Vol 280, Issue 6, p2663
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-023-07842-z