Incidence of Headache After Traumatic Brain Injury in China: A Large Prospective Study

Xu, Hongmei; Pi, Hongying; Ma, Lili; Su, Xinyang; Wang, Jianrong

doi:10.1016/j.wneu.2015.12.028

Cited by 19 publications

(18 citation statements)

References 30 publications

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“…Open access and outcome of mild TBI is heterogenous and contradictory: Whereas a large review of the literature in 2004 reported a recovery of symptoms within 3-12 months in most patients, 25 there is an increasing number of studies which report persisting symptoms 12 months after mild TBI in up to 58% of patients. [26][27][28] In our study, approximately one-third of these patients complained of troubles related to TBI after 3 and 12 months. Given this consistency of reported symptoms between 3 and 12 months, spontaneous recovery might not be expected if patients still report symptoms 3 months after trauma, which should lead to intensified diagnostic and therapeutic efforts at this time.…”

Section: Persisting Health Complaints In Mild Tbimentioning

confidence: 47%

Prospective observational cohort study on epidemiology, treatment and outcome of patients with traumatic brain injury (TBI) in German BG hospitals

et al. 2021

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ObjectivesSince 2000/2001, no large-scale prospective studies addressing traumatic brain injury (TBI) epidemiology in Germany have been published. Our aim was to look for a possible shift in TBI epidemiology described in other European countries, to look for possible changes in TBI management and to identify predictors of 1-year outcome especially in patients with mild TBI.DesignObservational cohort study.SettingAll patients suffering from a TBI of any degree between 1 October 2014 and 30 September 2015, and who arrived in one of the seven participating BG hospitals within 24 hours after trauma, were included.ParticipantsIn total, 3514 patients were included.Outcome measuresInitial care, acute hospital care and rehabilitation were documented using standardised documentation forms. A standardised telephone interview was conducted 3 and 12 months after TBI in order to obtain information on outcome.ResultsPeaks were identified in males in the early 20s and mid-50s, and in both sexes in the late 70s, with 25% of all patients aged 75 or older. A fall was the most frequent cause of TBI, followed by traffic accidents (especially bicyclists). The number of head CT scans increased, and the number of conventional X-rays of the skull decreased compared with 2000/2001. Besides, more patients were offered rehabilitation than before. Though most TBI were classified as mild, one-third of the patients participating in the telephone interview after 12 months still reported troubles attributed to TBI. Negative predictors in mild TBI were female gender, intracranial bleeding and Glasgow Coma Scale (GCS) 13/14.ConclusionThe observed epidemiologic shift in TBI (ie, elderly patients, more falls, more bicyclists) calls for targeted preventive measures. The heterogeneity behind the diagnosis ‘mild TBI’ emphasises the need for defining subgroups not only based on GCS.

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Section: Persisting Health Complaints In Mild Tbimentioning

confidence: 47%

Prospective observational cohort study on epidemiology, treatment and outcome of patients with traumatic brain injury (TBI) in German BG hospitals

et al. 2021

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“…The data were analyzed with regard to sex differences, since both prevalences of primary headache, as well as injuries to the head, are known to differ between men and women [ 25 , 26 ]. The available literature concerning any sex-differences for persistent HAIH has been inconsistent [ 6 , 27 – 29 ]. We did not find any significant difference between males and females in the effect of a head injury on change in headache status from HUNT2 to HUNT3.…”

Section: Discussionmentioning

confidence: 99%

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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“…Post-traumatic headache begins within 7 days of the injury and may mimic primary headache. A single prospective study with a cohort of 543 patients with history of traumatic brain injury reported a prevalence of headache of 49% at 1-year follow-up [60].…”

Section: Variant 2: New Headache With Optic Disc Edema Initial Imagingmentioning

confidence: 99%

ACR Appropriateness Criteria® Headache

Whitehead

Cardenas

Corey

et al. 2019

Journal of the American College of Radiology

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Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of headaches. However, patients presenting with headaches in the setting of "red flags" such as head trauma, cancer, immunocompromised state, pregnancy, patients 50 years or older, related to activity or position, or with a corresponding neurological deficit, may benefit from CT, MRI, or noninvasive vascular imaging to identify a treatable cause. This publication addresses the initial imaging strategies for headaches associated with the following features: severe and sudden onset, optic disc edema, "red flags," migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Incidence of Headache After Traumatic Brain Injury in China: A Large Prospective Study

Cited by 19 publications

References 30 publications

Prospective observational cohort study on epidemiology, treatment and outcome of patients with traumatic brain injury (TBI) in German BG hospitals

Prospective observational cohort study on epidemiology, treatment and outcome of patients with traumatic brain injury (TBI) in German BG hospitals

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

ACR Appropriateness Criteria® Headache

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