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Vestibular Testing: Patient Perceptions, Morbidity, and Opportunity Costs
Elizabeth A Kelly1, Catherine Stocker2, Carly M Kempton2
1Department of Otolaryngology Boys Town National Research Hospital, Omaha, Nebraska.
Summary
Vestibular testing causes significant symptoms and costs for patients, with over half experiencing nausea or dizziness. Understanding these burdens is key for improving patient care and testing protocols.
Area of Science:
- Otolaryngology
- Audiology
- Vestibular System Disorders
Background:
- Vestibular testing is crucial for diagnosing balance disorders.
- Patient tolerance and nonmonetary costs of vestibular testing are not well-characterized.
- Data are needed to improve patient counseling and optimize testing protocols.
Purpose of the Study:
- To characterize patient tolerance and nonmonetary cost burdens associated with vestibular testing.
- To provide baseline data for patient counseling and protocol improvement.
Main Methods:
- Prospective observational study at a tertiary center.
- 130 adult patients undergoing videonystagmography (VNG) with caloric and/or rotary chair (RC) testing.
- Surveys assessed symptoms, distress, and opportunity costs immediately and 1 week post-testing.
Main Results:
- 58% of patients reported undesirable symptoms (nausea, vomiting, headaches).
- 15% discontinued testing due to high distress and nausea.
- Testing incurred significant time costs (missed work, need for assistance).
Conclusions:
- Vestibular testing, while comparable in distress to other procedures, has high rates of adverse symptoms and post-test morbidity.
- Significant opportunity costs (time, missed work) impact patients.
- This data is essential for improving patient experience and care efficiency.
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