The Course of Headache in Patients With Moderate‐to‐Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross‐Sectional Study

Hong, Chang-Ki; Joo, Jin Yang; Kim, Yong Bae; Shim, Yu Shik; Lim, Yong Cheol; Shin, Yong Sam; Chung, Joonho

doi:10.1111/head.12612

Cited by 21 publications

(27 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To determine the prevalence of chronic pain following SAH, a retrospective cross‐sectional study of patients recovering from SAH sampled pain scores from admission, hospital discharge, and at 1, 3, 6, and 12 months thereafter. The authors identified only a mild degree of pain following hospital discharge that subsided over time . Despite differences in demographics and medical management, these studies in concert with the current one collectively indicate that SAH pain can be severe during the days following SAH, but eventually subsides in the weeks to months following the initial onset of headache.…”

Section: Discussionmentioning

confidence: 64%

“…The authors identified only a mild degree of pain following hospital discharge that subsided over time. 20 Despite differences in demographics and medical management, these studies in concert with the current one collectively indicate that SAH pain can be severe during the days following SAH, but eventually subsides in the weeks to months following the initial onset of headache.…”

Section: Discussionmentioning

confidence: 65%

“…Several previous reports have also examined the duration and intensity of headache following SAH . In a cohort study that surveyed patients with prior SAH scheduled for treatment of aneurysms, the average reported duration of headache following the initial onset of SAH was found to lie between 11.2 and 14.1 days with a pain intensity of approximately 9/10 .…”

Section: Discussionmentioning

confidence: 99%

“…Several previous reports have also examined the duration and intensity of headache following SAH. 20,21 In a cohort study that surveyed patients with prior SAH scheduled for treatment of aneurysms, the average reported duration of headache following the initial onset of SAH was found to lie between 11.2 and 14.1 days with a pain intensity of approximately 9/10. 21 To determine the prevalence of chronic pain following SAH, a retrospective cross-sectional study of patients recovering from SAH sampled pain scores from admission, hospital discharge, and at 1, 3, 6, and 12 months thereafter.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Longitudinal Course of Pain and Analgesic Therapy Following Aneurysmal Subarachnoid Hemorrhage: A Cohort Study

2016

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Longitudinal Course of Pain and Analgesic Therapy Following Aneurysmal Subarachnoid Hemorrhage: A Cohort Study

2016

View full text Add to dashboard Cite

show abstract

“…The quantitative scale ranges from 0 to 10, with 0 meaning “no headache at all” and 10 meaning “the worst possible headache.” This 11-point scale has been previously applied to headache assessment [7–9]. We defined NRS scores of 1 to 3, 4 to 6, and 7 to 10 as mild, moderate, and severe headache, respectively.…”

Section: Methodsmentioning

confidence: 99%

Post-traumatic headache in patients with minimal traumatic intracranial hemorrhage after traumatic brain injury: a retrospective matched case-control study

et al. 2017

Self Cite

View full text Add to dashboard Cite

BackgroundNo evidence is available on the risks of neurologically asymptomatic minimal traumatic intracranial hemorrhage (mTIH) in patients with traumatic brain injury (TBI) for post-traumatic headache (PTH). The purpose of this study was to investigate whether mTIH in patients with TBI was associated with PTH and to evaluate its risk factors.MethodsBetween September 2009 and December 2014, 1484 patients with TBI were treated at our institution, 57 of whom had mTIH after TBI and were include in this study. We performed propensity score matching to establish a control group among the 823 patients with TBI treated during the same period. Patients with TBI rated their headaches prospectively using a numeric rating scale (NRS). We compared NRS scores between mTIH group (n = 57) and non-mTIH group (n = 57) and evaluated risk factors of moderate-to-severe PTH (NRS ≥ 4) at the 12-month follow-up.ResultsModerate-to-severe PTH was reported by 21.9% of patients (29.8% in mTIH group and 14.0% in non-mTIH group B, p = 0.012) at the 12-month follow-up. The mean NRS was higher in mTIH group than in non-mTIH group throughout the follow-up period (95% confidence interval [CI], 0.11 to 1.14; p < 0.05, ANCOVA). Logistic regression analysis showed that post-traumatic seizure (odds ratio, 1.520; 95% CI, 1.128–6.785; p = 0.047) and mTIH (odds ratio, 2.194; 95% CI, 1.285–8.475; p = 0.039) were independently associated with moderate-to-severe PTH at the 12-month follow-up.ConclusionsModerate-to-severe PTH can be expected after TBI in patients with mTIH and post-traumatic seizure. PTH occurs more frequently in patients with mTIH than in those without mTIH.

show abstract

Pain Trajectories Following Subarachnoid Hemorrhage are Associated with Continued Opioid Use at Outpatient Follow-up

et al. 2021

View full text Add to dashboard Cite

Background Subarachnoid hemorrhage (SAH) is characterized by the worst headache of life and associated with long-term opioid use. Discrete pain trajectories predict chronic opioid use following other etiologies of acute pain, but it is unknown whether they exist following SAH. If discrete pain trajectories following SAH exist, it is uncertain whether they predict long-term opioid use. We sought to characterize pain trajectories after SAH and determine whether they are associated with persistent opioid use. Methods We reviewed pain scores from patients admitted to a single tertiary care center for SAH from November 2015 to September 2019. Group-based trajectory modeling identified discrete pain trajectories during hospitalization. We compared outcomes across trajectory groups using χ 2 and Kruskal–Wallis tests. Multivariable regression determined whether trajectory group membership was an independent predictor of long-term opioid use, defined as continued use at outpatient follow-up. Results We identified five discrete pain trajectories among 305 patients. Group 1 remained pain free. Group 2 reported low scores with intermittent spikes and slight increase over time. Group 3 noted increasing pain severity through day 7 with mild improvement until day 14. Group 4 experienced maximum pain with steady decrement over time. Group 5 reported moderate pain with subtle improvement. In multivariable analysis, trajectory groups 3 (odds ratio [OR] 3.5; 95% confidence interval [CI] 1.5–8.3) and 5 (OR 8.0; 95% CI 3.1–21.1), history of depression (OR 3.6; 95% CI 1.3–10.0) and racial/ethnic minority (OR 2.3; 95% CI 1.3–4.1) were associated with continued opioid use at follow-up (median 62 days following admission, interquartile range 48–96). Conclusions Discrete pain trajectories following SAH exist. Recognition of pain trajectories may help identify those at risk for long-term opioid use.

show abstract

The Course of Headache in Patients With Moderate‐to‐Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross‐Sectional Study

Abstract: The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache.

Cited by 21 publications

References 12 publications

The Longitudinal Course of Pain and Analgesic Therapy Following Aneurysmal Subarachnoid Hemorrhage: A Cohort Study

The Longitudinal Course of Pain and Analgesic Therapy Following Aneurysmal Subarachnoid Hemorrhage: A Cohort Study

Post-traumatic headache in patients with minimal traumatic intracranial hemorrhage after traumatic brain injury: a retrospective matched case-control study

Pain Trajectories Following Subarachnoid Hemorrhage are Associated with Continued Opioid Use at Outpatient Follow-up

Contact Info

Product

Resources

About