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

Research

Lei Zhang¹  Hanyu Zhu¹  Fanchao Meng²  Ying Yang²  Ruozhuo Liu²  Shengyuan Yu²  Jiaji He²  Shaobo Xiao²  Guangshuang Lu³ 

[1] Blood Purification Center, the First Medical Center of Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, PR China;Chinese PLA Medical School, Fuxing Road 28, Haidian District, 100853, Beijing, PR China;Department of Neurology, the First Medical Centre of Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, PR China;Chinese PLA Medical School, Fuxing Road 28, Haidian District, 100853, Beijing, PR China;Department of Neurology, the First Medical Centre of Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, PR China;The Lu’an Hospital Affiliated to Anhui Medical University, the Lu’an People’s Hospital, Wanxi Road 21, Jinan District, 237000, Lu’an, PR China;

关键词: ICHD-3;    Diagnostic criteria;    Headache;    Haemodialysis;    Dialysis;   

DOI  :  10.1186/s10194-023-01548-7

 received in 2022-12-07, accepted in 2023-02-07,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHeadache 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).MethodsOne 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.ResultsThis 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).ConclusionsThe 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.

【 授权许可】

CC BY   
© The Author(s) 2023