Incidence and risk factors of postdural puncture headache: prospective cohort study design
Abstract Background Postdural puncture headache is one of the complications following spinal anesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture, which includes needle size, needle design, direction of the bevel, a...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13741-020-00164-2 |
| _version_ | 1818530312340111360 |
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| author | Bedilu Girma Weji Mohammed Suleiman Obsa Kidest Getu Melese Gedion Asnake Azeze |
| author_facet | Bedilu Girma Weji Mohammed Suleiman Obsa Kidest Getu Melese Gedion Asnake Azeze |
| author_sort | Bedilu Girma Weji |
| collection | DOAJ |
| description | Abstract Background Postdural puncture headache is one of the complications following spinal anesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture, which includes needle size, needle design, direction of the bevel, and number of lumbar puncture attempts. This study aimed to assess the incidence and risk of postdural puncture headache. Methods This prospective cohort study design was conducted using a consecutive sampling method. Regular supervision and follow-up were performed. Data were entered into Epi info version 7 software and transported to SPSS version 20 for analysis. The odds ratio and 95% confidence interval were computed. The findings of the study were reported using tables, figures, and narrations. Variables that were found to be candidates (p value < 0.25) on binary logistic regression entered into a multiple logistic regression analysis to identify independent predictors of postdural puncture headache. Results One hundred fifty eligible study participants were included in our study, of which 28.7% had developed postdural puncture headache. This study found that needle size, number of cerebrospinal fluid drops, and multiple attempts were significant independent predictors of postdural puncture headache (p < 0.05). In addition, twenty-five needles were identified as the strongest preoperative independent predictor of postdural puncture headache (AOR = 4.150, CI = 1.433–12.021) Conclusions A recent study revealed that a small spinal needle was much better than a large cutting spinal needle regarding the frequency of postdural puncture headache. In addition, frequent attempts during lumbar puncture and increased cerebrospinal fluid leakage were associated with the events. In view of this, we recommend the use of a small spinal needle to avoid more leakage of cerebrospinal fluid and multiple attempts at spinal anesthesia and lumbar puncture. |
| first_indexed | 2024-12-11T17:18:07Z |
| format | Article |
| id | doaj.art-647b15da5e9a4633a6e3a3ab1b154c8d |
| institution | Directory Open Access Journal |
| issn | 2047-0525 |
| language | English |
| last_indexed | 2024-12-11T17:18:07Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-647b15da5e9a4633a6e3a3ab1b154c8d2022-12-22T00:57:14ZengBMCPerioperative Medicine2047-05252020-11-01911610.1186/s13741-020-00164-2Incidence and risk factors of postdural puncture headache: prospective cohort study designBedilu Girma Weji0Mohammed Suleiman Obsa1Kidest Getu Melese2Gedion Asnake Azeze3Department of Anesthesia, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Anesthesia, Wolaita Sodo UniversityDepartment of Midwifery, Wolaita Sodo UniversityDepartment of Midwifery, Wolaita Sodo UniversityAbstract Background Postdural puncture headache is one of the complications following spinal anesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture, which includes needle size, needle design, direction of the bevel, and number of lumbar puncture attempts. This study aimed to assess the incidence and risk of postdural puncture headache. Methods This prospective cohort study design was conducted using a consecutive sampling method. Regular supervision and follow-up were performed. Data were entered into Epi info version 7 software and transported to SPSS version 20 for analysis. The odds ratio and 95% confidence interval were computed. The findings of the study were reported using tables, figures, and narrations. Variables that were found to be candidates (p value < 0.25) on binary logistic regression entered into a multiple logistic regression analysis to identify independent predictors of postdural puncture headache. Results One hundred fifty eligible study participants were included in our study, of which 28.7% had developed postdural puncture headache. This study found that needle size, number of cerebrospinal fluid drops, and multiple attempts were significant independent predictors of postdural puncture headache (p < 0.05). In addition, twenty-five needles were identified as the strongest preoperative independent predictor of postdural puncture headache (AOR = 4.150, CI = 1.433–12.021) Conclusions A recent study revealed that a small spinal needle was much better than a large cutting spinal needle regarding the frequency of postdural puncture headache. In addition, frequent attempts during lumbar puncture and increased cerebrospinal fluid leakage were associated with the events. In view of this, we recommend the use of a small spinal needle to avoid more leakage of cerebrospinal fluid and multiple attempts at spinal anesthesia and lumbar puncture.http://link.springer.com/article/10.1186/s13741-020-00164-2Spinal needleLumbar puncturePencil-point spinal needlePostdural puncture headacheSpinal anesthesia |
| spellingShingle | Bedilu Girma Weji Mohammed Suleiman Obsa Kidest Getu Melese Gedion Asnake Azeze Incidence and risk factors of postdural puncture headache: prospective cohort study design Perioperative Medicine Spinal needle Lumbar puncture Pencil-point spinal needle Postdural puncture headache Spinal anesthesia |
| title | Incidence and risk factors of postdural puncture headache: prospective cohort study design |
| title_full | Incidence and risk factors of postdural puncture headache: prospective cohort study design |
| title_fullStr | Incidence and risk factors of postdural puncture headache: prospective cohort study design |
| title_full_unstemmed | Incidence and risk factors of postdural puncture headache: prospective cohort study design |
| title_short | Incidence and risk factors of postdural puncture headache: prospective cohort study design |
| title_sort | incidence and risk factors of postdural puncture headache prospective cohort study design |
| topic | Spinal needle Lumbar puncture Pencil-point spinal needle Postdural puncture headache Spinal anesthesia |
| url | http://link.springer.com/article/10.1186/s13741-020-00164-2 |
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