Headache 22 Years after Hospitalization for Head Injury Compared with Matched Community Controls

Nestvold, Knut; Stavem, Knut

doi:10.1159/000109825

Cited by 5 publications

(8 citation statements)

References 33 publications

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“…Also, head injury was positively associated with stable headache suffering, which means that headache was less likely to improve. This confirms findings from several studies with less reliable study designs during the last years [ 9 , 23 , 24 ], but contrast with an earlier population-based study, which did not find an association between previous head injury and headache [ 12 ]. However, in that study there was a 22-year interval between the exposure to trauma and inquiry about headache [ 12 ].…”

Section: Discussionsupporting

confidence: 87%

“…To investigate a causal relationship between head injury and subsequent headache, a control group for comparison is vital, preferably through a population-based design. There are, to our knowledge, only two other population-based, controlled studies on this subject and their findings are inconsistent [ 11 , 12 ]. Moreover, both studies have methodological limitations [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…There are, to our knowledge, only two other population-based, controlled studies on this subject and their findings are inconsistent [ 11 , 12 ]. Moreover, both studies have methodological limitations [ 11 , 12 ]. Headache prevalence and severity have been reported to be greater in those with mild head injury compared to those with more severe head injury [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Headache following head injury: a population-based longitudinal cohort study (HUNT)

et al. 2018

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BackgroundHeadache is the most frequent symptom following head injury, but long-term follow-up of headache after head injury entails methodological challenges. In a population-based cohort study, we explored whether subjects hospitalized due to a head injury more often developed a new headache or experienced exacerbation of previously reported headache compared to the surrounding population.MethodsThis population-based historical cohort study included headache data from two large epidemiological surveys performed with an 11-year interval. This was linked with data from hospital records on exposure to head injury occurring between the health surveys. Participants in the surveys who had not been hospitalized because of a head injury comprised the control group. The head injuries were classified according to the Head Injury Severity Scale (HISS). Multinomial logistic regression was performed to investigate the association between head injury and new headache or exacerbation of pre-existing headache in a population with known pre-injury headache status, controlling for potential confounders.ResultsThe exposed group consisted of 294 individuals and the control group of 25,662 individuals. In multivariate analyses, adjusting for age, sex, anxiety, depression, education level, smoking and alcohol use, mild head injury increased the risk of new onset headache suffering (OR 1.74, 95% CI 1.05–2.87), stable headache suffering (OR 1.70, 95% CI 1.15–2.50) and exacerbation of previously reported headache (OR 1.93, 95% CI 1.24–3.02). The reference category was participants without headache in both surveys.ConclusionIndividuals hospitalized due to a head injury were more likely to have new onset and worsening of pre-existing headache and persistent headache, compared to the surrounding general population. The results support the entity of the ICHD-3 beta diagnosis “persistent headache attributed to traumatic injury to the head”.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Headache following head injury: a population-based longitudinal cohort study (HUNT)

et al. 2018

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“…Our findings of acute HAIH but not persistent HAIH are in line with a controlled study from Lithuania and a population-based study from Norway. 23,24 In the Lithuanian study, migraine occurred significantly more often in patients with MTBI than in patients with a minor orthopedic trauma 3 months post-injury, but headache diagnoses and headache frequency occurred in similar proportions as in the controls 12 months post-injury. 23 The authors of the Norwegian study did not find any association between previous head injury and headache 22 years after hospitalization for head injury.…”

Section: Discussionmentioning

confidence: 92%

Change in Headache Suffering and Predictors of Headache after Mild Traumatic Brain Injury: A Population-Based, Controlled, Longitudinal Study with Twelve-Month Follow-Up

Nordhaug

Linde

Follestad

et al. 2019

Journal of Neurotrauma

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Headache attributed to traumatic injury to the head (HAIH) is claimed to be the most common sequela following mild traumatic brain injury (MTBI), but epidemiological evidence is scarce. We explored whether patients with MTBI had an increase in headache suffering following injury compared with controls. We also studied predictors of headache.The Trondheim MTBI follow-up study is a population-based, controlled, longitudinal study. We recruited patients exposed to MTBI and controls with minor orthopedic injuries from a trauma center and a municipal outpatient clinic, and community controls from the surrounding population. Information on headache was collected through questionnaires at baseline, and 3 and 12 months post-injury. We used a generalized linear mixed model to investigate the development of headache over time in the three groups, and logistic regression to identify predictors of headache.We included 378 patients exposed to MTBI, 82 trauma controls, and 83 community controls. The MTBI-group had a larger increase in odds of headache from baseline to the first 3 months post-injury than the controls, but not from baseline to 3–12 months post-injury. Predictors for acute HAIH were female sex and pathological imaging findings on computed tomography (CT) or magnetic resonance imaging (MRI). Predictors for persistent HAIH were prior MTBI, being injured under the influence of alcohol, and acute HAIH. Patients who experience HAIH during the first 3 months post-injury have a good chance to improve before 12 months post-injury. Female sex, imaging findings on CT or MRI, prior MTBI, and being injured under the influence of alcohol may predict exacerbation of headache.

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“…A control group of 287 persons, aged 24 to 87 years, 63% men and 37% women, from the general population in the hospital’s catchment area, was drawn from the Norwegian National Population Register in 1997 and used for comparison in the present study. This control group originally served as controls in a study of patients following head trauma [ 21 ]. The PSG population patients and general population controls filled in the same self-reported headache questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and predictors of headache in patients referred to polysomnography

2013

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BackgroundThe objectives of this study were; (1) to assess the prevalence and frequency of headache in patients referred to polysomnography (PSG) due to a clinical suspicion of obstructive sleep apnea (OSA) or another sleep disturbance and compare with a reference population, and (2) to assess the association of OSA severity with headache and headache frequency.MethodsA total of 784 participants filled in a headache questionnaire between 2003 and 2009 at the Department of Clinical Neurophysiology, Akershus University Hospital. Of these patients 477 were suspected to have OSA, and 307 had other sleep complaints. We assessed the prevalence of headache and monthly headache frequencies, as well as sleep apnea severity using an apnea-hypopnea index (AHI). The association of headache and monthly headache frequencies with PSG subgroups was assessed using multivariate logistic and ordered logistic regression analysis.ResultsThe frequency of headache was not associated with the severity of OSA. Patients referred to a sleep study for any reason had higher odds ratio (OR) for having experienced headache during the past year than population controls after adjustment for age, gender and education, i.e. patients with normal AHI had OR of 3.56, patients with OSA had OR of 3.51, and patients with other sleep disturbances had OR of 3.33. Similarly, the adjusted OR of being in a higher category of monthly headache frequency compared to controls was higher in those with normal AHI (OR 3.42), OSA (OR 3.29), and other sleep disturbances (OR 3.00).ConclusionsThe odds of headache and headache frequency were higher in subjects referred to a PSG for any sleep disturbance independently of OSA, compared to general population controls. However, there was no association between experiencing headache during the past year or headache frequency with OSA severity.

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Headache 22 Years after Hospitalization for Head Injury Compared with Matched Community Controls

Cited by 5 publications

References 33 publications

Headache following head injury: a population-based longitudinal cohort study (HUNT)

Headache following head injury: a population-based longitudinal cohort study (HUNT)

Change in Headache Suffering and Predictors of Headache after Mild Traumatic Brain Injury: A Population-Based, Controlled, Longitudinal Study with Twelve-Month Follow-Up

Prevalence and predictors of headache in patients referred to polysomnography

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