" To Study Etiological & Demographic Profile of Headache in Tertiary Neurocare Centre Of Mp " (original) (raw)
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Neurology, 2013
Background. Primary headaches are underdiagnosed and undertreated, with a significant impact on social activities and work. Aim. To determine the last-year prevalence and health care utilization pattern of primary headaches at a tertiary centre. Methods. A cross-sectional study was carried out amongst staff of the Lagos State University Teaching Hospital in Lagos, Nigeria. 402 staff members were selected by simple random sampling and administered a detailed structured headache assessment questionnaire. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004). Results. The participants comprised 168 males and 234 females. The mean age was 36.9 ± 7.9 years. The overall headache prevalence was 39.3% with female predominance (< 0.0001). Tension-type headache was the most prevalent at 72.8% and migraine at 18.9%. Unclassifiable headache constituted 8.2%. Migraine headache showed female preponderance (= 0.000). 80.4% of participants did not seek medical consultation compared with 19.6% who did (= 0.000). Of the latter, 83.9% consulted the general practitioner (GP), whilst 16.1% consulted the neurologist. Conclusions. Primary headache prevalence is high in our population. It is not recognised as that requiring care by most of the staff of this tertiary health facility; thus education is required to increase health care utilization.
Clinical Speciality of 500 Headache Patients: Documentations of Headache Center
Gazi Medical Journal, 2014
Objective:Headache is a health problem which is a prevalent, disabling condition affecting people in all age groups. In this study, we evaluated headache characteristics and associated factors of patients in our headache center. Method:In this study,we retrospectively investigated the file records of 500 patients followed up between 1994-1997 in our headache center. Demographical data and other information about headache of all patients were evaluated in the file records. Results:.Mean age was 33,5±10,1 years in patients.47,4% of patients had migraine type headache. Other primary headache types were tension type headache, drug overuse headache and trigeminal autonomic cephalalgias, retrospectively. We investigated characteristics of pain, treatment schedules and their responses in all headache types. Conclusion:Headache is one of the most frequent health problem in the general population and it may cause disability. Among patients submitted to the our headache center, half of them had migraine type headache. However, we found that some patients had a wrong diagnosis in their initial assessments. This results, suggest that special headache centers are required for headache patients.
Etiological Evaluation of Headache Patients in a Tertiary Care Hospital
Scholars Journal of Applied Medical Sciences, 2020
Original Research Article Background: Headache is a very common complain amongst patients attending inpatient and outpatient departments of Medicine and Neuromedicine. In this study an attempt has been made to evaluate the etiological and clinical pattern of headache in our populations. The results of the study will help prompt and early diagnosis of headache patients. Methods: This study was conducted in the department of Medicine and Neuromedicine of SSMC and Mitford Hospital from 1 st July, 2014 to 31 st December, 2014. This is a prospective observational study. Sample size is 100. Qualitative purposive sampling has been done. Sample has been selected according to inclusion and exclusion criteria. Proper history taking, thorough physical examination and necessary investigation have been done to find out the etiology of headache. The data has been recorded in a structured format and analyzed by computer software SPSS. Result: In the study mean age of the respondents was 39.8±26.66 (at 95%CI). Male and female ratio was 0.72:1.This study revealed that out of 100 patients 60 patients had Tension type headache (TTH), 11 patients had migraine, 15 patients had Mixed cranial headache (MCH), 1 patient to Cluster headache (CH) and 13 patients had secondary headache. It was seen that most patients (87%) suffered from primary headache with TTH being the commonest diagnosis. Females were more affected than male in all groups except secondary headache. There was decline in primary headache with advancing age as the number of secondary headaches increased. Investigations were needed in a very small group of patients. Conclusion: It is very important to differentiate the different types of headache. Knowledge about etiological pattern of headache will help clinically in prioritizing the patients, in planning investigations, early diagnosis and prompt management and prevent complications of the patients.
CLINICAL PROFILE OF HEADACHE FROM A TERTIARY CARE CENTRE IN EASTERN INDIA
IASET, 2013
Headache is one of the commonest disorders presenting to the neurologists and causes significant morbidity. There is no definitive data about the prevalence and clinical profile of various headache types from our hospital which is a tertiary care referral centre for eastern India. The present study was conducted to study the etiological and clinical profile of various headache types using the second edition of International Classification of Headache Disorders (ICHD-2), and associated triggers in a tertiary care referral centre. Patients &
Primary Headaches of Patients - A Challenge for Primary Care Physicians
Biomedical Journal of Scientific and Technical Research, 2023
Headaches, medially known as cephalalgia, is one of the most common disorders of the nervous system. Approximately half of all adults have had a headache during the past year, and it is the sixth cause of disability in the world. It is the most disabling conditions and can have a substantial impact on quality of life of those affected. If it occurs repeatedly, it may be called as headache disorder. The latest International Classification of Headache Disorders has broadly classified headache disorders into primary and secondary based on their origin. Primary headache the subject of this paper is triggered by lifestyle factors, like alcohol, particularly red wine, processed meats that contain nitrates, changes in sleep or lack of sleep, poor posture, skipped meals & stress. Majority of those with headache have primary headache disorder especially migraine, tension-type headache, and medication-overuse headache. The tension-type headache (TTH), episodic TTH of less than 15 days/month, is reported by more than 70% in some populations. Stress is one of the main aggravating factors across geographies, more so in millennials and females. The Global Burden of Disease Study 2019 estimated that migraine caused 41.1 million YLDs 5.4% of Total YLDs, and tensiontype headache 5.5 million years of life lived with disability. Headache disorders are most troublesome in the productive years of life with lost working days and reduced productivity. Without proper treatment, can become chronic or recurring affecting the well-being of an individual and predispose them to other illnesses. Self-care with simple analgesics in managing primary headache disorders can help reduce frequency of attack and severity with positive effect on physical symptoms and functional capacity. Paracetamol (acetaminophen) is a safe analgesic with good gastrointestinal tolerance and is first line option. Caffeine's anti-nociception enhancing effect when given with acetaminophen significantly improves efficacy over use of paracetamol alone. Ninety percent of headaches seen in practice are due to a primary headache disorder where there are no confirmatory tests, and neuroimaging studies, if done, are normal. In this review use of a logarithm is suggested that makes first an emphasis on the recognition of red flags that help in the identification of secondary headaches, referral or management and expects establishing good referral mechanisms in the health system. This also emphasises most importantly a good history taking that allows the physician to recognize a pattern that in turn leads to the correct diagnosis for better management. A comprehensive history needs time, interest, focus and establishment of rapport with the patient. When to ask what question to elicit which information, is an art that is acquired by practice and improves with experience. Methods & Materials: This review is based on eight case studies of various types of headaches, and literature review and a logarithm suggested by Physicians Association of India and Neurologists Association of India
2012
Primary chronic headaches cause more disability and necessitate high utilisation of health care. Our knowledge is based on selected populations, while information from the general population is largely lacking. An age and gender-stratified cross-sectional epidemiological survey included 30,000 persons aged 30-44 years. Respondents with self-reported chronic headache were interviewed by physicians. The International Classification of Headache Disorders was used. Of all primary chronic headache sufferers, 80% had consulted their general practitioner (GP), of these 19% had also consulted a neurologist and 4% had been hospitalised. Co-occurrence of migraine increased the probability of contact with a physician. A high Severity of Dependence Scale score increased the probability for contact with a physician. Complementary and alternative medicine (CAM) was used by 62%, most often physiotherapy, acupuncture and chiropractic. Contact with a physician increased the probability of use of CAM.
The burden of headache in a patient population from a specialized headache centre
Cephalalgia, 2007
The aim was to characterize the individual and socio-economic impact of headache in a patient population from The Danish Headache Centre. This was a cross-sectional study using a structured interview, prospective headache diaries and standardized self-administered questionnaires using the ICHD-II criteria. Fifty-five subjects (12 male and 43 female) with a median age of 41 years and a median headache frequency of 15 days/month participated. Very high utilization of the healthcare system and a high absence rate due to headache of 12 days/ year were reported. Eighty-one percent experienced a marked decrease in work effectiveness. Overall, 91% felt hampered by their headache on a daily basis and 98% had had expenses for headache medication. Frequent headache disorders are highly costly, especially due to indirect costs. Prevention, early intervention or effective treatment strategies for headache disorders may therefore be highly cost effective, not only for the individual but also for society. ᮀ Burden of headache, individual and socio-economic impact, specialized headache centre Gabrielle R. Vinding, Medical Student,
Pakistan Journal of Medical and Health Sciences
Background: Headache is characterized by the painful and disabling disorder of the central nervous system CNS. The most common symptoms experienced by the person suffering from the headache are pain in head, neck and face. Objective: This study aims to assess the prevalence of primary types of headaches, knowledge of their types, their impact on the productivity and work efficiency of the healthcare professionals in a tertiary care health institution. Study design: This cross sectional study was conducted at Neurology Department, Fauji Foundation Hospital, Rawalpindi for duration of 1 year from December 2020 to December 2021. Material and Methods: An estimated number of 1000 adult healthcare professionals aged above 18 were included in this research. Simple convenience sampling technique was used for sampling. According to the Inclusion criteria the individual should be an adult healthcare professional. According to the exclusion criteria Individuals below the age of 18, not a part ...