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Oriental Medical Treatment Pattern of Korean Patients with Dizziness or Vertigo

한국인 어지럼증 환자의 최근 4년간 한방 진료 양태

  • Kim, Jae-Yeong (Department of Oriental Neuropsychiatry, Haeundae Jaseng Korean Medicine Hospital) ;
  • Jeong, Seon-Yeong (Department of Oriental Neuropsychiatry, Bucheon Jaseng Korean Medicine Hospital) ;
  • Park, Sam-Min (Department of Oriental Internal Medicine of Korean Medicine, Haeundae Jaseng Korean Medicine Hospital) ;
  • Hwang, Dong-Gyu (Department of Oriental Internal Medicine of Korean Medicine, Haeundae Jaseng Korean Medicine Hospital) ;
  • Kho, Young Tak (Department of Oriental Neuropsychiatry, Bucheon Jaseng Korean Medicine Hospital)
  • 김재영 (해운대 자생한방병원 한방신경정신과) ;
  • 정선영 (부천 자생한방병원 한방신경정신과) ;
  • 박삼민 (해운대 자생한방병원 한방내과) ;
  • 황동규 (해운대 자생한방병원 한방내과) ;
  • 고영탁 (부천 자생한방병원 한방신경정신과)
  • Received : 2015.08.20
  • Accepted : 2015.09.08
  • Published : 2015.09.30

Abstract

Objectives: We aimed to evaluate the use of Korean medicine in patients with dizziness or vertigo, since such study has not been performed previously. Methods: In the current study, we included 3 diagnoses i.e., Disorders of vestibular function (H81), Vertiginous syndromes in diseases classified elsewhere (H82), and Dizziness and giddiness (R42) from the Health Insurance Review and Assessment Service (HIRAS) database for 4 years. We analyzed the database and compared treatment with Korean vs. Western medicine. Results: 1. Korean medical visits and cost have been increasing for 4 years, except 2011. Western medical visits are 11.9 times higher than Korean medical visits. 2. The number of women who received Korean medicine was 2.6 times higher than that of men. 3. Among all ages, the 70~79 years group were the most frequent users of Korean medicine. The older age was correlated with more patients' visits. 4. The comparative number of visits by patient care type for 4 years indicated that outpatients had more visits than hospitalization. Furthermore, outpatient visits have been increasing for 4 years. 5. The comparative number of visits by hospital type for 4 years indicated that visits to the Korean medical clinic were the highest. In primary care, patients used more Korean medicine than Western medicine. In tertiary care, patients used more Western medicine than Korean medicine. 6. Korean medical cost per patient by patient care type for 4 years was a total 89,000 won, hospitalization 449,000 won and outpatient 83,000 won. Costs of all patient care types have been increasing. 7. Korean medical cost per patient by hospital type for 4 years was 156,000 won for Korean medical hospital, 83,000 won for local clinic and 127,000 won for miscellaneous facilities. Costs of all types have been increasing. Conclusions: This study provided objective information about epidemiologic characteristics of Korean medicine in patients with dizziness or vertigo. Furthermore, it provides an understanding of the recent status and forms the basis for further expansion of demand for Korean medicine among patients with dizziness or vertigo.

Keywords

References

  1. Han BI. Vertigo and tinnitus than the picture. 1st Ed. Seoul: Purensol publishing. 2010:15.
  2. Kim BY. Taking a History From the Dizzy Patients. Research in Vestibular Science. 2009;8(2):7-15.
  3. Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol. 2007:20(1):40-6. https://doi.org/10.1097/WCO.0b013e328013f432
  4. Tintinali JE, Kelen GD, Stapezynski JS. Emergency Medicine. A comprehensive study guide. 6th ed. New York: Mcgraw-Hill 2004:1400-9.
  5. Chung SP, Kim UJ, Goo HD, Kim SH. A Selection criteria for brain computed tomography in patients with vertigo. Journal of the korean society of emergency medicine. 1996;7:540-4.
  6. Kang HG, Yun YU, Yi JH, Park IC, Lee KR, Chung SW, Goo HD, Kim SH. Diffusion-weighted Imaging in Isolated vertigo Patients Having Risk Factors for Stroke. Journal of the korean society of emergency medicine. 2001;12:439-46.
  7. Staab JP, Ruckenstein MJ. Chronic dizziness and anxiety: effect of course of illness on treatment outcome. Arch Otolaryngol Head Neck Surg. 2005;131(8):675-9. https://doi.org/10.1001/archotol.131.8.675
  8. Oh SY. Diagnosis and Treatment of Chronic Dizziness. Research in Vestibular Science. 2010;9(1):65-71.
  9. Department of cardiovascular and neurologic diseases, college of Korean medicine. Textbook of oriental medicine(cardiovascular and neurologic disease). 1st Ed. Seoul:Koonja publishing. 2006:317-30.
  10. Staab JP. Chronic dizziness: the interface between psychiatry and neuro-otology. Curr Opin Neurol. 2006;19(1): 41-8. https://doi.org/10.1097/01.wco.0000198102.95294.1f
  11. Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007;78:710-5.
  12. Moon SY, Kim JS, Kim BK, Kim JI, Lee H, Son SI, et al. Clinical chara-cteristics of benign paroxysmal positional vertigo in Korea: a multicenter study. Journal of Korean medical science. 2006;21:539-43. https://doi.org/10.3346/jkms.2006.21.3.539
  13. Tark MR, Kang NR, Ko WS, Yoon HJ. A Study on the Dizziness of Huangdi's Internal Classic. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2011;24(1):142-70.
  14. YAO NAI LI. Chinese medicine diagnosis symptoms of Science. Beijing:People's Health Press. 1997.
  15. Colledge NR, Wilson JA, Maclntyre CC, Maclennan WJ. The prevalence and characteristics of dizziness in an dlderly community. Age Ageing. 1994;23:117-20. https://doi.org/10.1093/ageing/23.2.117
  16. Kim TY, Kim GT, Go H. Clinical Analysis on the Positional Vertigo Patients treated in an Oriental Medical Center. Korean J. Orient. Int. Med. 2011;32(3):371-86.
  17. Woodworth BA, Gillespie MB, Lambert PR. The canalith repositioning procedure for benign positional vertigo: a meta-analysis.Laryngoscope. 2004;114:1143-6. https://doi.org/10.1097/00005537-200407000-00002
  18. Wu JR, Fang M, Hu J, Shen GQ, Jiang SY. Effects of manipulation on head repositioning skill in patients with cervical vertigo. Zhong Xi Yi Jie He Xue Bao. 2006;4(1):76-8. https://doi.org/10.3736/jcim20060120

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