Prevalência e impacto da migrânea em funcionários do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP

Abstract

RESUMO -Cefaléia é sintoma comum na população, com prevalência ao longo da vida superior a 90%. Acarreta importante impacto na qualidade de vida de seus portadores. O presente estudo tem por objetivo avaliar a prevalência da migrânea entre trabalhadores de um hospital universitário, bem como mensurar a intensidade, interferência e impacto dela em algumas atividades cotidianas. Um total de 1890 funcionários respondeu a questionário que possibilitava o diagnóstico da migrânea. A prevalência dessa cefaléia ao longo da vida foi 30,4%. A dor foi considerada como intensa, na maioria das vezes, por 86% dos migranosos. Verificou-se impacto importante em aspectos da vida cotidiana tanto durante como no intervalo das crises de dor. Conclui-se que a migrânea representa problema de saúde pública entre os funcionários do HC. Por acarretar importante impacto na qualidade de vida desses trabalhadores, é possível haver diminuição da capacidade laborativa deles, com prejuízo econômico considerável. Cremos que este problema mereça, portanto, atenção especial, através de melhor diagnóstico e tratamento. PALAVRAS-CHAVE: migrânea, prevalência, qualidade de vida. Migraine prevalence and impact: an university hospital employees based studyABSTRACT -Headache is a common symptom in the population, with a life prevalence around 90%. It results in an important impact in the life quality of sufferers. The aim of this study is to evaluate the prevalence of migraine among employees of an university hospital (HC), as well as to measure the headache intensity, interference and impact in the daily activities. A total of 1890 employees had answered to a questionnaire which made possible to carry out diagnosis of migraine. Life prevalence of this headache type was 30.4%. Pain was considered intense, most of the time, by 86% of the migraneurs . It was verified an important impact in the daily life aspects as much during as between the headache attacks. It can be concluded that migraine represents a public health problem among the HC employees. Because migraine brings about an important impact in the life quality of those workers, it is possible that a reduction of working capacity with considerable economic burden exists. This problem deserves, thus, special attention, through a better diagnostic and treatment.KEY WORDS: migraine, prevalence, life quality.Desde os primórdios da civilização, o ser humano preocupa-se com a cefaléia. Referências sobre ela existem na literatura médica pré-hipocrática. A epidemiologia das cefaléias primárias tem sido estudada durante séculos, mas só nas últimas duas décadas houve progresso significativo no seu entendimento e sistematização. Sabe-se que a prevalência ao longo da vida, na população norte-

Clinical features, diagnosis and treatment of acute primary headaches at an emergency center: why are we still neglecting the evidence?

“…Migraine has also been the most frequent headache type found in studies performed in Brazilian tertiary-care centers, ranging from 38 to 45.1% 2,6,7 . It is important to note that the patients selected in the present study sought medical care spontaneously.…”

Ocorrência e prejuízos da cefaleia em estudantes universitárias de enfermagem

“…Employees from the University of São Paulo at Ribeirão Preto Medical School Hospital das Clínicas in the State of São Paulo said that they avoid driving when in pain (35.1%); some reported about having canceled family (59.9%) and leisure activities (81.2%) due to pain. Eighty-two percent reported that they had to stop doing what they were doing to lie down or that they would like to lie down (3) .…”

“…Headaches are less common in the population compared to other country studies, and they affect the students' everyday activities. Headache is a frequent complaint among young students and the losses this pain causes implies disability, educational failure and an average absenteeism rate of 2.8 days/year (1) , greater vulnerability to comorbidities (2) and impaired quality of life (3) . A consensus exists that women and young adults are the most represented cases (4) .…”

Frequency of headache among the employees of a rubber company in the state of São Paulo, Brazil

“…27 A study conducted at the University Hospital of Ribeirão Preto estimated a loss of approximately 500,000 dollars in a single year due to the reduced productivity of its employees during migraine crises. 15 Even though impairment of work was reported, absenteeism was not frequent (8.7%) among the participants; 90% of those who reported missing work due to headache belonged to the migraine group. Headache also generated loss of productivity, even when the employees went to work with a headache.…”

“…This result is similar to the findings of Bigal et al, who observed a crisis frequency of two to four times a month in 47% of the employees with migraine. 15 Very frequent crises (occurring on more than 15 days per month) characterize a group of headaches called chronic daily headache (CDH). 16 The presence of CDH affects the quality of life, with an important impact on individuals' productive, social and emotional characteristics.…”