Headache relevance in outpatient activity during Covid-19 pandemic

Gatti, Francesca; Manneschi, L.

doi:10.1007/s10072-020-04666-1

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…In general, three main primary headaches are observed in COVID-19 patients i.e. migraine, cluster headache and tension-type headache [137][138][139][140] . No fixed mechanisms have been reported on how these headaches emerge in COVID-19 patients.…”

Section: Headache Pathogenesis In Covid-19mentioning

confidence: 99%

Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis

et al. 2021

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Background: This study was conducted to determine the prevalence of headache in coronavirus disease 2019 (COVID-19) and to assess its association as a predictor for COVID-19. This study also aimed to discuss the possible pathogenesis of headache in COVID-19. Methods: Available articles from PubMed, Scopus, and Web of Science were searched as of September 2nd, 2020. Data on characteristics of the study, headache and COVID-19 were extracted following the PRISMA guidelines. Biases were assessed using the Newcastle-Ottawa scale. The cumulative prevalence of headache was calculated for the general population (i.e. adults and children). The pooled odd ratio (OR) with 95% confidence intervals (95%CI) was calculated using the Z test to assess the association between headache and the presence of COVID-19 cases. Results: We included 104,751 COVID-19 cases from 78 eligible studies to calculate the global prevalence of headache in COVID-19 and 17 studies were included to calculate the association of headache and COVID-19. The cumulative prevalence of headache in COVID-19 was 25.2% (26,464 out of 104,751 cases). Headache was found to be more prevalent, approximately by two-fold, in COVID-19 patients than in non-COVID-19 patients (other respiratory viral infections), OR: 1.73; 95% CI: 1.94, 2.5 with p=0.04. Conclusion: Headache is common among COVID-19 patients and seems to be more common in COVID-19 patients compared to those with the non-COVID-19 viral infection. No definitive mechanisms on how headache emerges in COVID-19 patients but several possible hypotheses have been proposed. However, extensive studies are warranted to elucidate the mechanisms. PROSPERO registration: CRD42020210332 (28/09/2020)

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Section: Headache Pathogenesis In Covid-19mentioning

confidence: 99%

Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis

et al. 2021

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“…Um die Ausbreitung des Virus einzudämmen, wurden Massnahmen getroffen, die weitreichende Auswirkungen auf das Leben fast aller Menschen hatten. Da Migräneattacken wahrscheinlich oft durch Umweltreize ausgelöst werden [13], stellte sich deshalb die Frage, wie deren Häufigkeit durch die Pandemie beeinflusst [14,15] und wie sich die Kopfschmerzbehandlung selbst verändern würde [16][17][18][19].…”

Section: Mots-clés: Sars-cov2 Masque Migraine Quarantaine Confinementunclassified

“…Obwohl Zuweisungen neuer Patientinnen und Patienten zurückgingen, wuchsen die Wartelisten. In vielen Spitälern wich man auf Telefonkonsultationen oder Videokonferenzen aus, um den Bedürfnissen der Betroffenen bestmöglich gerecht zu werden [16][17][18][19]60]. Auflage in die Klassifikation aufgenommen, damals aber noch nicht als primär, sondern als Neuralgie klassifiziert worden [64].…”

Section: Auswirkungen Von Pandemie Und Quarantäne Auf Kopfschmerzenunclassified

COVID-19 und Kopfschmerzen

Pohl

Gantenbein

2021

Praxis

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Zusammenfassung. Kopfschmerzen sind ein häufiges Symptom einer COVID-19-Infektion und werden typischerweise als bilateral lokalisiert, frontal betont, drückend und mittelstark bis stark beschrieben. Die Unterscheidung von primären Kopfschmerzerkrankungen gelingt in der Regel durch die systematische Suche nach «Red Flags»; meist werden die Kopfschmerzen von Fieber, Husten oder erhöhten Entzündungsparametern im Blut begleitet. Früher geäusserte Bedenken gegen den Einsatz von Ibuprofen zur symptomatischen Kopfschmerztherapie bei Patientinnen und Patienten mit COVID-19 werden durch prospektive Studien nicht unterstützt. Während das Tragen von Masken sehr oft zu Kopfschmerzen führt, die wahrscheinlich durch Kompression sensibler Nerven ausgelöst werden, wirkt sich der Lockdown in der Regel positiv auf eine vorbestehende Migräne aus. Die Behandlung von Betroffenen mit primären Kopfschmerzen wird durch Quarantäneregeln erschwert, weshalb viele Zentren auf virtuelle Konsultationen setzen.

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“…Kristoffersen reported that 86% of the neurological department changed their headache practice during the lockdown into telephone consultations or video consultations in Denmark and Norway. [ 6 ] Gatti and López-Bravo reported a similar shift toward telemedicine in Italy[ 3 ] and Spain. [ 9 ] In Japan, similar to the other countries, online medical care has been officially performed from April 2020.…”

Section: Introductionmentioning

confidence: 96%

Preliminary development of a deep learning-based automated primary headache diagnosis model using Japanese natural language processing of medical questionnaire

Katsuki

Narita

Matsumori³

et al. 2020

Surgical Neurology International

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Background: Primary headaches are widespread and costly public health problems. However, there are insufficient medical resources for their treatment in Japan due to two reasons. First, the numbers of headache specialists and clinics remain insufficient. Second, neurologists and neurosurgeons mainly treat headaches in Japan. However, they mainly work as general stroke neurologists, so they cannot focus on primary headache treatment. To solve these problems, we preliminarily developed a deep learning (DL)-based automated diagnosis model from patients’ Japanese unstructured sentences in the medical questionnaire using a DL framework. We hypothesized that the model would reduce the time and burden on both doctors and patients and improve their quality of life. Methods: We retrospectively investigated our primary headache database and developed a diagnosis model using the DL framework (Prediction One, Sony Network Communications Inc., Japan). We used age, sex, date, and embedding layer made by the medical questionnaire’s natural language processing (NLP). Results: Eight hundred and forty-eight primary headache patients (495 women and 353 men) are included. The median (interquartile range) age was 59 (40–74). Migraine accounted for 46%, tension-type headache for 47%, trigeminal autonomic cephalalgias for 5%, and other primary headache disorders for 2%. The accuracy, mean precision, mean recall, and mean F value of the developed diagnosis model were 0.7759, 0.8537, 0.6086, and 0.6353, which were satisfactory. Conclusion: The DL-based diagnosis model for primary headaches using the raw medical questionnaire’s Japanese NLP would be useful in performing efficient medical practice after ruling out the secondary headaches.

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Headache relevance in outpatient activity during Covid-19 pandemic

Cited by 7 publications

References 3 publications

Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis

Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis

COVID-19 und Kopfschmerzen

Preliminary development of a deep learning-based automated primary headache diagnosis model using Japanese natural language processing of medical questionnaire

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