Indian Journal of Public Health Research & Development

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A Cross Sectional Study on Factors Relating to Headache Patients Presenting to a Private Hospital in Bhubaneswar


Affiliations
1 Department of Community Medicine, Hi Tech Medical College, Bhubaneswar, India
2 Hi Tech Medical College, Bhubaneswar, India
     

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Objective: A study to describe the classification and factors related to headache patients who seek medical advice.

Materials & Methods: Interview of 400 consecutive patients who presented to a neurologist at a private hospital in Bhubaneswar was conducted. Demographic details, pattern of headache, associated factors and family history were recorded. International Classification of Headache Disorders version 2 was applied.

Results: 77% of all patients were women and 66% of them were between 20 and 60 years of age. Migraine was the most common disorder (64%) followed by tension-type headache (23.5%), medicationoveruse headache (9.5%) and cluster headache (3%). Chronic daily headache was seen in 156 patients. Eleven percent of female migraineurs suffered from MRM. Study subjects with presence of factors like marriage, family history, inadequate sleep, family stress and exposure to onions had a statistically significant higher proportion than those who did not have such exposure.

Conclusions: Patients who seek medical advice for headache are usually in their most productive ages. Migraine and tension-type headache are the most common clinical presentations of headache. Onset of migraine is earlier in patients with first-degree family history. Menstrually related migraine affects women with headache episodes of longer duration than other patients and it warrants special therapeutic consideration.


Keywords

Factors, Headache, Hospital
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  • Stovner L, Hagen K, Jensen R, Katsarava Z, Lipton R, et al. (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 27: 193–210.

  • Mateen F, Dua T, Steiner T, Saxena S (2008) Headache disorders in developing countries: research over the past decade. Cephalalgia.

  • (2004) The International Classification of Headache Disorders: 2nd edition. Cephalalgia 24: Suppl 19–160.

  • Silberstein SD, Lipton RB (2000) Chronic daily headache. Curr Opin Neurol 13: 277–283.

  • (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363: 157–163.

  • Jensen R, Stovner LJ (2008) Epidemiology and comorbidity of headache. Lancet Neurol 7: 354–361.

  • Ahmed A, Khan UA, Khan RF, Khan SJ (1999) Clinical Aspects of Headache. Ann King Edward Med Coll 5: 315–316.

  • Rasmussen BK, Jensen R, Olesen J (1992) Impact of headache on sickness absence and utilisation of medical services: a Danish population study. J Epidemiol Community Health 46: 443–446.

  • Allais G, Benedetto C (2004) Update on menstrual migraine: from clinical aspects to therapeutical strategies. Neurol Sci 25: Suppl 3S229–231.

  • Rainero I, Valfre W, Gentile S, Lo Giudice R, Ferrero M, et al. (2002) A comparison of familial and sporadic migraine in a headache clinic population. Funct Neurol 17: 193–197.

  • Baier WK (1985) Genetics of migraine and migraine accompagnee: a study of eighty-one children and their families. Neuropediatrics 16: 84–91.

  • Wessman M, Terwindt GM, Kaunisto MA, Palotie A, Ophoff RA (2007) Migraine: a complex genetic disorder. Lancet Neurol 6: 521–532.

  • Hussain R, Bittles AH (1998) The prevalence and demographic characteristics of consanguineous marriages in Pakistan. J Biosoc Sci 30: 261–275.

  • Ravi G, Manjeet B, Vishal C (2007) Chronic daily headache: medication overuse and psychiatric morbidity. J Pak Psych Society 4: 19–24

  • Chakravarty A (2003) Chronic daily headaches: clinical profile in Indian patients. Cephalalgia 23: 348–353.


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  • A Cross Sectional Study on Factors Relating to Headache Patients Presenting to a Private Hospital in Bhubaneswar

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Authors

Sarangi Lisa
Department of Community Medicine, Hi Tech Medical College, Bhubaneswar, India
L. Parhi
Hi Tech Medical College, Bhubaneswar, India

Abstract


Objective: A study to describe the classification and factors related to headache patients who seek medical advice.

Materials & Methods: Interview of 400 consecutive patients who presented to a neurologist at a private hospital in Bhubaneswar was conducted. Demographic details, pattern of headache, associated factors and family history were recorded. International Classification of Headache Disorders version 2 was applied.

Results: 77% of all patients were women and 66% of them were between 20 and 60 years of age. Migraine was the most common disorder (64%) followed by tension-type headache (23.5%), medicationoveruse headache (9.5%) and cluster headache (3%). Chronic daily headache was seen in 156 patients. Eleven percent of female migraineurs suffered from MRM. Study subjects with presence of factors like marriage, family history, inadequate sleep, family stress and exposure to onions had a statistically significant higher proportion than those who did not have such exposure.

Conclusions: Patients who seek medical advice for headache are usually in their most productive ages. Migraine and tension-type headache are the most common clinical presentations of headache. Onset of migraine is earlier in patients with first-degree family history. Menstrually related migraine affects women with headache episodes of longer duration than other patients and it warrants special therapeutic consideration.


Keywords


Factors, Headache, Hospital

References