Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Kassa, Adugna Aregawi; Beyen, Teresa Kisi; Denu, Zewditu Abdissa

doi:10.4172/2155-6148.1000536

Cited by 20 publications

(25 citation statements)

References 22 publications

(62 reference statements)

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“…According to the findings of this study, the incidence of postdural puncture headache was 28.7%, which is lower than the study conducted at Gondar University Hospital, which showed that 38.8% of PDPH cases occurred (Kassa et al 2015 ). In contrast to this study, another study conducted on factors associated with the onset and persistence of post-lumbar puncture headache in New York showed that the incidence of PDPH is 21.6% during the immediate post procedural period (Monserrate et al 2015 ).…”

Section: Discussioncontrasting

confidence: 62%

Incidence and risk factors of postdural puncture headache: prospective cohort study design

et al. 2020

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Background Postdural puncture headache is one of the complications following spinal anesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture, which includes needle size, needle design, direction of the bevel, and number of lumbar puncture attempts. This study aimed to assess the incidence and risk of postdural puncture headache. Methods This prospective cohort study design was conducted using a consecutive sampling method. Regular supervision and follow-up were performed. Data were entered into Epi info version 7 software and transported to SPSS version 20 for analysis. The odds ratio and 95% confidence interval were computed. The findings of the study were reported using tables, figures, and narrations. Variables that were found to be candidates (p value < 0.25) on binary logistic regression entered into a multiple logistic regression analysis to identify independent predictors of postdural puncture headache. Results One hundred fifty eligible study participants were included in our study, of which 28.7% had developed postdural puncture headache. This study found that needle size, number of cerebrospinal fluid drops, and multiple attempts were significant independent predictors of postdural puncture headache (p < 0.05). In addition, twenty-five needles were identified as the strongest preoperative independent predictor of postdural puncture headache (AOR = 4.150, CI = 1.433–12.021) Conclusions A recent study revealed that a small spinal needle was much better than a large cutting spinal needle regarding the frequency of postdural puncture headache. In addition, frequent attempts during lumbar puncture and increased cerebrospinal fluid leakage were associated with the events. In view of this, we recommend the use of a small spinal needle to avoid more leakage of cerebrospinal fluid and multiple attempts at spinal anesthesia and lumbar puncture.

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Section: Discussioncontrasting

confidence: 62%

Incidence and risk factors of postdural puncture headache: prospective cohort study design

et al. 2020

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“…According to the ndings of this study, the incidence of postdural puncture headache was 28.7%, which is lower than the study conducted at Gondar University Hospital, which showed that 38.8% of PDPH cases occurred [19]. In contrast to this study, another study conducted on factors associated with the onset and persistence of post-lumbar puncture headache in New York showed that the incidence of PDPH is 21.6% during the immediate post procedural period [20].…”

Section: Discussioncontrasting

confidence: 73%

Incidence and risk factors of Postdural Puncture Headache: Prospective cohort study design

Weji¹,

Obsa

Melese

et al. 2020

Preprint

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Background:Postdural puncture headache is one of the complications following spinal anaesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture, which includes needle size, needle design, direction of the bevel and number of lumbar puncture attempts. This study aimed to assess the incidence and risk of postdural puncture headache.Methods:This prospective cohort study design was conducted using a consecutive sampling method. Regular supervision and follow-up were performed. Data were entered into Epi info version 7 software and transported to SPSS version 20 for analysis. The odds ratio and 95% confidence interval were computed. The findings of the study were reported using tables, figures and narrations. Variables that were found to be candidates (p value < 0.25) on binary logistic regression entered into a multiple logistic regression analysis to identify independent predictors of postdural puncture headache.Results:One hundred fifty eligible study participants were included in our study, of which 28.7% had developed postdural puncture headache. This study found that needle size, number of cerebro spinal fluid drops and multiple attempts were significant independent predictors of postdural puncture headache (p < 0.05). In addition, twenty-five needles were identified as the strongest preoperative independent predictor of postdural puncture headache (AOR = 4.150, CI = 1.433- 12.021)Conclusions:A recent study revealed that a small spinal needle was much better than a large cutting spinal needle regarding the frequency of postdural puncture headache. In addition, frequent attempts during lumbar puncture and increased cerebro spinal fluid leakage were associated with the events. In view of this, we recommend the use of a small spinal needle to avoid more leakage of cerebrospinal fluid and multiple attempts at spinal anesthesia and lumbar puncture.

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“…According to the nding of this study, the incidence of postdural puncture headache was 28.67% which is lower than the study conducted in Gonder University Hospital which showed that 38.8% of PDPH [19]. On contrary to this study, another study conducted on factors associated with the onset and persistence of post-lumbar puncture headache in New York showed incidence of PDPH is 21.6% during immediate post procedural period [20].…”

Section: Discussioncontrasting

confidence: 72%

Title: Incidence and risk factors of Postdural Puncture Headache: Prospective cohort study design

Weji¹,

Obsa

Melese

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Post-dural puncture headache is one of the complications following spinal anaesthesia and accidental dural puncture. Several modifiable risk factors contribute to the development of headache after lumbar puncture which includes needle size, needle design, direction of the bevel and number of lumbar punctures attempts. This study aimed to assess the incidence and risk of postdural puncture headache.Methods: This prospective cohort study design was conducted using a consecutive sampling method. Regular supervision and follow up were made. Data was entered in to Epi info version 7 software and transported to SPSS version 20 for analysis. Odd ratio and 95% confidence interval was computed. The findings of the study were reported using tables, figures and narration. Variables that were found to be candidate (p value < 0.25) on binary logistic regression entered into a multiple logistic regression analysis to identify independent predictors of postdural puncture headache.Results: One hundred fifty eligible study participants were included in our study of which 28.67% had developed postdural puncture headache. This study found that needle size, number of CSF drops and multiple attempts as independent predictors of postdural puncture headache at significant level (p < 0.05). In addition, twenty five needle was identified as strongest pre-operative independent predictor with PDPH (AOR = 4.150, CI = 1.433- 12.021)Conclusions: Recent study revealed that small size spinal needle was much better to large size cutting spinal needle regarding the frequency of postdural puncture headache. Besides, frequent attempts during lumbar puncture and increased CSF leakage were associated with the events. In view of this, we recommend the use of small size spinal needle; avoid more leakage of cerebrospinal fluid and multiple attempts in spinal anesthesia and lumbar puncture.

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Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Cited by 20 publications

References 22 publications

Incidence and risk factors of postdural puncture headache: prospective cohort study design

Incidence and risk factors of postdural puncture headache: prospective cohort study design

Incidence and risk factors of Postdural Puncture Headache: Prospective cohort study design

Title: Incidence and risk factors of Postdural Puncture Headache: Prospective cohort study design

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