The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition
Abstract Background Headache during hemodialysis (HDH) is prevalent but not negligible. Despite the high prevalence of dialysis headaches, they have rarely been studied. Therefore, this study aimed to evaluate the prevalence, risk factors, and clinical characteristics of HDH and reappraise the HDH d...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
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| Series: | The Journal of Headache and Pain |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s10194-023-01548-7 |
| _version_ | 1797864007986577408 |
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| author | Ying Yang Fanchao Meng Hanyu Zhu Lei Zhang Guangshuang Lu Shaobo Xiao Jiaji He Shengyuan Yu Ruozhuo Liu |
| author_facet | Ying Yang Fanchao Meng Hanyu Zhu Lei Zhang Guangshuang Lu Shaobo Xiao Jiaji He Shengyuan Yu Ruozhuo Liu |
| author_sort | Ying Yang |
| collection | DOAJ |
| description | Abstract Background Headache during hemodialysis (HDH) is prevalent but not negligible. Despite the high prevalence of dialysis headaches, they have rarely been studied. Therefore, this study aimed to evaluate the prevalence, risk factors, and clinical characteristics of HDH and reappraise the HDH diagnostic criteria in the International Classification of Headache Disorders 3 (ICHD-3). Methods One hundred and fifty-four patients completed this randomized cross-sectional study. Consecutive patients who underwent haemodialysis were assessed using a semi-structured questionnaire. The patients were administered face-to-face questionnaires while undergoing dialysis. Results This study included 154 patients. Before commencing dialysis, 3.24% (5/154) of the patients had migraine without aura, 1.29% (2/154) had menstrual-related migraine, 0.6% (1/154) had tension-type headaches, and 0.6% (1/154) had an unclassifiable headache. One case (0.6%) of headache resolved after dialysis treatment. HDH was diagnosed in 9.09% (14/154) of the patients. Headache after haemodialysis (HAH) was reported in 6.49% (10/154) of patients. The most prevalent features of HDH were frontal or temporal location, bilateral headaches, dull and throbbing nature, and moderate severity. HDH started at a mean of 2.33 ± 0.79 h after dialysis commenced. The average headache duration was 6.56 ± 1.57 h (median = 3.0 h), with 66.67% of the patients reporting a duration of ≤4 h. HDH was more prevalent in females than males (P = 0.01, P < 0.05). Female sex was a risk factor for HDH (P = 0.01，P < 0.05). Conclusions The diagnostic criteria for 10.2 HDH in ICHD-3 may miss several HAH. Therefore, ICHD-3 should be revised according to the literature and further studies. |
| first_indexed | 2024-04-09T22:44:40Z |
| format | Article |
| id | doaj.art-424228ba5a304299aa4c48079db33a5f |
| institution | Directory Open Access Journal |
| issn | 1129-2377 |
| language | English |
| last_indexed | 2024-04-09T22:44:40Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | The Journal of Headache and Pain |
| spelling | doaj.art-424228ba5a304299aa4c48079db33a5f2023-03-22T11:54:06ZengBMCThe Journal of Headache and Pain1129-23772023-02-012411910.1186/s10194-023-01548-7The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd editionYing Yang0Fanchao Meng1Hanyu Zhu2Lei Zhang3Guangshuang Lu4Shaobo Xiao5Jiaji He6Shengyuan Yu7Ruozhuo Liu8Chinese PLA Medical SchoolChinese PLA Medical SchoolBlood Purification Center, the First Medical Center of Chinese PLA General HospitalBlood Purification Center, the First Medical Center of Chinese PLA General HospitalChinese PLA Medical SchoolChinese PLA Medical SchoolChinese PLA Medical SchoolChinese PLA Medical SchoolChinese PLA Medical SchoolAbstract Background Headache during hemodialysis (HDH) is prevalent but not negligible. Despite the high prevalence of dialysis headaches, they have rarely been studied. Therefore, this study aimed to evaluate the prevalence, risk factors, and clinical characteristics of HDH and reappraise the HDH diagnostic criteria in the International Classification of Headache Disorders 3 (ICHD-3). Methods One hundred and fifty-four patients completed this randomized cross-sectional study. Consecutive patients who underwent haemodialysis were assessed using a semi-structured questionnaire. The patients were administered face-to-face questionnaires while undergoing dialysis. Results This study included 154 patients. Before commencing dialysis, 3.24% (5/154) of the patients had migraine without aura, 1.29% (2/154) had menstrual-related migraine, 0.6% (1/154) had tension-type headaches, and 0.6% (1/154) had an unclassifiable headache. One case (0.6%) of headache resolved after dialysis treatment. HDH was diagnosed in 9.09% (14/154) of the patients. Headache after haemodialysis (HAH) was reported in 6.49% (10/154) of patients. The most prevalent features of HDH were frontal or temporal location, bilateral headaches, dull and throbbing nature, and moderate severity. HDH started at a mean of 2.33 ± 0.79 h after dialysis commenced. The average headache duration was 6.56 ± 1.57 h (median = 3.0 h), with 66.67% of the patients reporting a duration of ≤4 h. HDH was more prevalent in females than males (P = 0.01, P < 0.05). Female sex was a risk factor for HDH (P = 0.01，P < 0.05). Conclusions The diagnostic criteria for 10.2 HDH in ICHD-3 may miss several HAH. Therefore, ICHD-3 should be revised according to the literature and further studies.https://doi.org/10.1186/s10194-023-01548-7ICHD-3Diagnostic criteriaHeadacheHaemodialysisDialysis |
| spellingShingle | Ying Yang Fanchao Meng Hanyu Zhu Lei Zhang Guangshuang Lu Shaobo Xiao Jiaji He Shengyuan Yu Ruozhuo Liu The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition The Journal of Headache and Pain ICHD-3 Diagnostic criteria Headache Haemodialysis Dialysis |
| title | The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition |
| title_full | The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition |
| title_fullStr | The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition |
| title_full_unstemmed | The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition |
| title_short | The applicability research of the diagnostic criteria for 10.2 Heamodialysis-related headache in the international classification of headache disorders-3rd edition |
| title_sort | applicability research of the diagnostic criteria for 10 2 heamodialysis related headache in the international classification of headache disorders 3rd edition |
| topic | ICHD-3 Diagnostic criteria Headache Haemodialysis Dialysis |
| url | https://doi.org/10.1186/s10194-023-01548-7 |
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