Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria
Introduction: Given the high prevalence of primary headache in the young population, and the rate of pregnancy in this age group, it is unsurprising that pregnant women present a high likelihood of consulting due to headache. Objectives: This study seeks to determine the main aetiologies and predict...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-04-01
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| Series: | Neurology Perspectives |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667049621000235 |
| _version_ | 1818859620788076544 |
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| author | J.F. Muñoz-Cerón A.C. Osorio- Restrepo E.A. Vega |
| author_facet | J.F. Muñoz-Cerón A.C. Osorio- Restrepo E.A. Vega |
| author_sort | J.F. Muñoz-Cerón |
| collection | DOAJ |
| description | Introduction: Given the high prevalence of primary headache in the young population, and the rate of pregnancy in this age group, it is unsurprising that pregnant women present a high likelihood of consulting due to headache. Objectives: This study seeks to determine the main aetiologies and predictors of headache and the usefulness of the International Classification of Headache Disorders (third edition-beta; ICHD-3 beta) for differentiating primary from non-primary headaches in pregnant women at the emergency department. Patients and methods: We performed a cross-sectional study comparing the prevalence of patients meeting the ICHD-3 beta criteria, associated symptoms, history of headache, and demographic features between primary and non-primary headaches. Results: Headache was responsible for 142 out of 2952 admissions (4.8%). Headache was primary, non-primary, or unclassified in 66.9%, 27.4%, and 5.6% of cases, respectively. Migraine and headache associated with hypertensive disorders were the most frequent aetiologies for primary and non-primary headaches: 91.6% and 31.4% of cases, respectively. The factors associated with primary headache were fulfilling the ICHD-3 beta criteria (OR: 23.5; 95% CI, 12.5–34.5; p < 0.001), history of migraine (OR: 2.85; 95% CI, 1.18–5.94; p = 0.013), history of similar episodes (OR: 6.4; 95% CI, 2.78–14.0; p < 0.001), and description of phosphenes (OR: 4.2; 95% CI, 1.5–11.68; p = 0.02). The factors associated with non-primary headaches were fever (OR: 12.8; 95% CI, 1.38–119; p = 0.016) and mean arterial blood pressure greater than 106.6 (OR: 2.6; 95% CI, 1.7–3.5; p = 0.03). Conclusion: In our study, the ICHD-3 beta criteria were useful for differentiating primary from non-primary headaches in pregnant women. History of migraine, history of similar episodes, phosphenes, fever, and high arterial blood pressure were also valuable predictors. Resumen: Introducción: Debido a la alta prevalencia de cefaleas primarias en la población general joven y la tasa de embarazos en este rango de edad, no sorprende encontrar una alta probabilidad de consultas por dolor de cabeza durante el periodo gestacional. Objetivos: Determinar etiologías, predictores y utilidad de los criterios ICHD-3 beta para diferenciar cefaleas primarias de las no primarias en mujeres embarazadas en Urgencias. Pacientes y métodos: Estudio transversal que compara la prevalencia de pacientes que reúnen criterios ICHD-3 beta, síntomas asociados, antecedentes de cefalea y características demográficas entre la cefalea primaria y la no primaria. Resultados: La cefalea fue responsable de 142 (4,8%) de 2.952 admisiones. La cefalea primaria, la no primaria y la no clasificada fueron del 66,9, 27,4 y 5,6%, respectivamente. La migraña y la cefalea asociada con trastornos hipertensivos fueron las etiologías más frecuentes para los grupos primarios y no primarios: 91,6 y 31,4%, respectivamente. Fueron factores asociados con la cefalea primaria: reunir criterios ICHD-3 beta (OR 23,5; IC 95% 12,5-34,5; p < 0,001), antecedente de migraña (OR 2,85; IC 95% 1,18-5,94; p = 0,013), haber presentado episodios similares (OR 6,4; IC 95% 2,78-14,0; p < 0,001) y fosfenos (OR 4,2; IC 95% 1,5-11,68; p = 0,02). Fueron factores asociados con etiologías no primarias: fiebre (OR 12,8; IC 95% 1,38-119; p = 0,016) y presión arterial media superior a 106,6 (OR 2,6; IC 95% 1,7-3,5; p = 0,03). Conclusión: Los criterios ICHD-3 beta fueron útiles para diferenciar las cefaleas primarias de las no primarias. Esto también es válido para antecedentes de migraña, episodios similares, fosfenos, fiebre y presión arterial alta. |
| first_indexed | 2024-12-19T09:15:05Z |
| format | Article |
| id | doaj.art-afaadd492ebf464194eeaa930516f8af |
| institution | Directory Open Access Journal |
| issn | 2667-0496 |
| language | English |
| last_indexed | 2024-12-19T09:15:05Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Neurology Perspectives |
| spelling | doaj.art-afaadd492ebf464194eeaa930516f8af2022-12-21T20:28:07ZengElsevierNeurology Perspectives2667-04962021-04-0112111116Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteriaJ.F. Muñoz-Cerón0A.C. Osorio- Restrepo1E.A. Vega2Hospital Universitario Mayor-MÉDERI, Centro de investigaciones CIMED, Universidad del Rosario, Bogotá, Colombia; Unidad de cefalea Clínica Colombia FUS, Bogotá, ColombiaHospital Universitario Mayor-MÉDERI, Centro de investigaciones CIMED, Universidad del Rosario, Bogotá, Colombia; Fundación Cardioinfantil, Bogotá, Colombia; Corresponding author.Hospital Universitario Mayor-MÉDERI, Centro de investigaciones CIMED, Universidad del Rosario, Bogotá, ColombiaIntroduction: Given the high prevalence of primary headache in the young population, and the rate of pregnancy in this age group, it is unsurprising that pregnant women present a high likelihood of consulting due to headache. Objectives: This study seeks to determine the main aetiologies and predictors of headache and the usefulness of the International Classification of Headache Disorders (third edition-beta; ICHD-3 beta) for differentiating primary from non-primary headaches in pregnant women at the emergency department. Patients and methods: We performed a cross-sectional study comparing the prevalence of patients meeting the ICHD-3 beta criteria, associated symptoms, history of headache, and demographic features between primary and non-primary headaches. Results: Headache was responsible for 142 out of 2952 admissions (4.8%). Headache was primary, non-primary, or unclassified in 66.9%, 27.4%, and 5.6% of cases, respectively. Migraine and headache associated with hypertensive disorders were the most frequent aetiologies for primary and non-primary headaches: 91.6% and 31.4% of cases, respectively. The factors associated with primary headache were fulfilling the ICHD-3 beta criteria (OR: 23.5; 95% CI, 12.5–34.5; p < 0.001), history of migraine (OR: 2.85; 95% CI, 1.18–5.94; p = 0.013), history of similar episodes (OR: 6.4; 95% CI, 2.78–14.0; p < 0.001), and description of phosphenes (OR: 4.2; 95% CI, 1.5–11.68; p = 0.02). The factors associated with non-primary headaches were fever (OR: 12.8; 95% CI, 1.38–119; p = 0.016) and mean arterial blood pressure greater than 106.6 (OR: 2.6; 95% CI, 1.7–3.5; p = 0.03). Conclusion: In our study, the ICHD-3 beta criteria were useful for differentiating primary from non-primary headaches in pregnant women. History of migraine, history of similar episodes, phosphenes, fever, and high arterial blood pressure were also valuable predictors. Resumen: Introducción: Debido a la alta prevalencia de cefaleas primarias en la población general joven y la tasa de embarazos en este rango de edad, no sorprende encontrar una alta probabilidad de consultas por dolor de cabeza durante el periodo gestacional. Objetivos: Determinar etiologías, predictores y utilidad de los criterios ICHD-3 beta para diferenciar cefaleas primarias de las no primarias en mujeres embarazadas en Urgencias. Pacientes y métodos: Estudio transversal que compara la prevalencia de pacientes que reúnen criterios ICHD-3 beta, síntomas asociados, antecedentes de cefalea y características demográficas entre la cefalea primaria y la no primaria. Resultados: La cefalea fue responsable de 142 (4,8%) de 2.952 admisiones. La cefalea primaria, la no primaria y la no clasificada fueron del 66,9, 27,4 y 5,6%, respectivamente. La migraña y la cefalea asociada con trastornos hipertensivos fueron las etiologías más frecuentes para los grupos primarios y no primarios: 91,6 y 31,4%, respectivamente. Fueron factores asociados con la cefalea primaria: reunir criterios ICHD-3 beta (OR 23,5; IC 95% 12,5-34,5; p < 0,001), antecedente de migraña (OR 2,85; IC 95% 1,18-5,94; p = 0,013), haber presentado episodios similares (OR 6,4; IC 95% 2,78-14,0; p < 0,001) y fosfenos (OR 4,2; IC 95% 1,5-11,68; p = 0,02). Fueron factores asociados con etiologías no primarias: fiebre (OR 12,8; IC 95% 1,38-119; p = 0,016) y presión arterial media superior a 106,6 (OR 2,6; IC 95% 1,7-3,5; p = 0,03). Conclusión: Los criterios ICHD-3 beta fueron útiles para diferenciar las cefaleas primarias de las no primarias. Esto también es válido para antecedentes de migraña, episodios similares, fosfenos, fiebre y presión arterial alta.http://www.sciencedirect.com/science/article/pii/S2667049621000235EtiologíaCefaleaMigrañaPredictoresEmbarazo |
| spellingShingle | J.F. Muñoz-Cerón A.C. Osorio- Restrepo E.A. Vega Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria Neurology Perspectives Etiología Cefalea Migraña Predictores Embarazo |
| title | Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria |
| title_full | Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria |
| title_fullStr | Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria |
| title_full_unstemmed | Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria |
| title_short | Headache during pregnancy: Etiologies and applicability of the ICHD-3 criteria |
| title_sort | headache during pregnancy etiologies and applicability of the ichd 3 criteria |
| topic | Etiología Cefalea Migraña Predictores Embarazo |
| url | http://www.sciencedirect.com/science/article/pii/S2667049621000235 |
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