Evidence map›Paper›PMID 39178603›Full record

ArticleInternational journal of pediatric otorhinolaryngology2024

Persistent postural perceptual dizziness (PPPD) in pediatric patients after COVID-19 infection.

Kimberley S Noij, Vidya Babu, Megan Drews, Stephanie Lockshaw, Laura Hermann, Laura A Malone, Carolyn M Jenks

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kimberley S NoijJohns Hopkins University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Baltimore, MD, USA.
Vidya BabuJohns Hopkins University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Baltimore, MD, USA.
Megan DrewsJohns Hopkins Hospital and Children's Center, Department of Physical Medicine and Rehabilitation, Baltimore, MD, USA.
Stephanie LockshawJohns Hopkins Hospital, Department of Otolaryngology - Head and Neck Surgery, Division of Audiology, Baltimore, MD, USA.
Laura HermannJohns Hopkins Hospital, Department of Otolaryngology - Head and Neck Surgery, Division of Audiology, Baltimore, MD, USA.
Laura A MaloneKennedy Krieger Institute, Baltimore, MD, USA; Johns Hopkins University School of Medicine, Departments of Neurology and Physical Medicine and Rehabilitation, Baltimore, MD, USA.
Carolyn M JenksJohns Hopkins University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Baltimore, MD, USA. Electronic address: cjenks@jhmi.edu.

Funding

Mid-Atlantic Pediatric Long COVID Network:Implementing patient-centered and multi-disciplinary practices to improve pediatric long COVIDU18HS029920 · AHRQ · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Laura A Malone · 2023 to 2026
$3.6M
AHRQ HHS U18 HS029920
6 · The paper itself

Abstract

backgroundPatients with long-COVID suffer from symptoms that continue or develop after a COVID-19 or SARS-CoV-2 infection and are present for four or more weeks after the initial infection. This case series describes a group of previously healthy adolescent patients with long-COVID who were seen in a pediatric vestibular clinic for evaluation of severe dizziness and were diagnosed with persistent postural-perceptual dizziness (PPPD). By presenting their symptoms, management and treatment effects, this study aims to provide a diagnostic and therapeutic framework for providers who encounter these patients.

methodsPatient records were reviewed for past medical history, symptoms, physical exam findings, results of audiometric and vestibular testing, dizziness handicap inventory for patient caregiver (DHI-pc) scores, and treatment recommendations. Parents of patients were contacted for a follow up survey to assess treatment adherence and outcomes including changes in symptoms and return to activity.

resultsA series of 9 adolescent patients were referred from a multidisciplinary long-COVID clinic and diagnosed with PPPD. Recommended treatment included vestibular physical therapy, selective serotonin reuptake inhibitor medication, and cognitive behavioral therapy. The majority of patients experienced an improvement in their symptoms, and all patients had improved activity levels and DHI-pc scores after treatment.

conclusionTo the best of our knowledge, no previous reports exist discussing PPPD in long-COVID patients. This case series provides insight into symptom evolution and treatment efficacy in this patient population.

Indexed as

COVID-19DizzinessAdolescentChildCognitive Behavioral TherapyFemaleHumansMalePhysical Therapy ModalitiesPost-Acute COVID-19 SyndromePostural BalanceSARS-CoV-2Selective Serotonin Reuptake InhibitorsSelective Serotonin Reuptake InhibitorsAdolescentLong-COVIDPersistent postural-perceptual dizzinessTreatment efficacy

Identifiers

PMID39178603
PMCPMC12451670

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.