Pattern of Presentation of Headache among Attendees of Health Centres Attached to a Tertiary Care Hospital, Dharwad
Keywords:
Headache, health centre, triggering factors, relieving factors, sleep distarbancesAbstract
Introduction: Despite that headache is felt, at some time, by nearly everybody, it is not known how, or how many of the populations of the world, or how healthcare and other resources are utilized to mitigate their effects. Globally, it has been estimated that prevalence among adults of current headache disorder is 47% in general. This study was conducted to know the pattern, factors triggering and associated with headache.
Materials and methods: A time bound cross-sectional study was conducted for a period of two months. Using convenient sampling individuals10 years and above and had at least one episode of headache in last one month were interviewed.
Results: Mean age presenting with headache was 29.26 +/- 12.13 years. Predominant age at onset was <20 years (55.7%). Monthly frequency (47.54%), bilateral location of headache (54.1%) and throbbing nature (59.01%) were more common. Most common triggering factors were sleep disturbance (63.9%) and stress (55.7%). Worsening was seen by any form of exertion (32.8%) and relieving factors included medication (54.1%) and rest (41%).
Conclusion: Headache mainly affects the working population (18-40yrs) which reduces their working efficiency. Hence measures have to be taken to prevent and reduce the frequency of headache.
References
WHO. Headache disorders. Fact sheet, Updated April 2016. Available from: http://www.who.int/mediacentre /factsheets/fs277/en/
WHO, Lifting the burden. Atlas of headache disorders and resources in the world 2011. ISBN: 9789241564212.
Zhang Y et al. Prevalence of primary headache disorders in a population aged 60 years and older in a rural area of Northern China.The Journal of Headache and Pain. 2016; 17:83. DOI 10.1186/s10194-016-0672-3
Kroner-Herwig B, Heinrich M, Morris L. Headache in German children and adolescents: a population-based ep-idemiological study. Cephalalgia. 2007; 27: 519–527.
Prencipe M, Casini A R, Ferretti C, Santini M, Pezzella F, Scaldaferri N, Culasso F. Prevalence of headache in an el-derly population attack frequency, disability, and use of medication. J Neurol Neurosurg Psychiatry. 2001;70:377–381.
Gabmann J, Morris L, Heinrich M, Kroner-Herwig B. One-year course of paediatric headache in children and adoles-cents aged 8–15 years. Cephalalgia. 2008; 28: 1154–1162.
Zivadinov R, Willheim K, Sepic-Grahovac D, Jurjevic A, Bucuk M, Brnabic-Razmilic O, Relja G, Zorzon M. Mi-graine and tension-type headache in Croatia: a population-based survey of precipitating factors. Cephalalgia. 2003 ;23 :336-43.
Kristjansdottir G, Wahlberg V. Sociodemographic differ-ences in the prevalence of self-reported headache in Ice-landic school-children. Headache. 1993; 33:381–5.
King NJ, Sharpley CF. Headache activity in children and adolescents. J Paediatr Child Health. 1990; 26:50–4.
Carlsson J. Prevalence of headache in school children: rela-tion to family and school factors. Acta Paediat. 1996; 85:692–6.
Kulkarni GB, Rao GN, Gururaj G, Stovner LJ, Steiner TJ. Headache disorders and public ill-health in India: preva-lence estimates in Karnataka State. The Journal of Head-ache and Pain. 2015; 16:67. DOI 10.1186/s10194-015-0549-x
Albuquerque R P, Santos A B, Tognola W A, Arruda M A. An Epidemiologic Study of Headaches In Brazilian Schoolchildren With A Focus On Pain Frequency. Arq Neuropsiquiatr. 2009; 67: 798-803.
Zebenholzer K et al. Prevalence, management and burden of episodic and chronic headaches—a cross sectional mul-ticentre study in eight Austrian headache centres. The Journal of Headache and Pain. 2015; 16:46. DOI 10.1186/s10194-015-0531-7
Robbins L. Precipitating factors in migraine: a retrospec-tive review of 494 patients. Headache. 1994 ; 34: 214-6.
Chabriat H, Danchot J, Michel P, Joire JE, Henry P. Precipi-tating factors of headache. A prospective study in a na-tional control-matched survey in migraineurs and nonmi-graineurs.Headache. 1999 ; 39: 335-8.
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