Epidemiology of primary and secondary headaches in a Brazilian tertiary-care center

OBJECTIVE: To analyze the demographic features of the population sample, the time of headache complaint until first consultation and the diagnosis of primary and secondary headaches. METHOD: 3328 patients were analyzed retrospectively and divided according to gender, age, race, school instruction, o...

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Detalles Bibliográficos
Autores: Felício, André Carvalho [UNIFESP], Bichuetti, Denis Bernardi [UNIFESP], Santos, William Adolfo Celso dos [UNIFESP], Godeiro Junior, Clecio de Oliveira [UNIFESP], Marin, Luis Fabiano [UNIFESP], Carvalho, Deusvenir de Souza [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2006
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/2943
Acceso en línea:http://dx.doi.org/10.1590/S0004-282X2006000100009
http://repositorio.unifesp.br/handle/11600/2943
Access Level:acceso abierto
Palabra clave:headache
clinic-based study
epidemiology
cefaléia
clínica terciária
epidemiologia
Descripción
Sumario:OBJECTIVE: To analyze the demographic features of the population sample, the time of headache complaint until first consultation and the diagnosis of primary and secondary headaches. METHOD: 3328 patients were analyzed retrospectively and divided according to gender, age, race, school instruction, onset of headache until first consultation and diagnosis(ICHD-II, 2004). RESULTS: Sex ratio (Female/Male) was 4:1, and the mean age was 40.7±15 years, without statistical differences between sexes. Approximately 65% of the patients were white and 55% had less than eight years of school instruction. Headache complaint until first consultation ranged from 1 to 5 years in 32.99% patients. The most prevalent diagnosis were migraine (37.98%), tension-type headache-TTH (22.65%) and cluster headache (2.73%). CONCLUSION: There are few data on epidemiological features of headache clinic populations, mainly in developing countries. According to the literature, migraine was more frequent than TTH. It is noteworthy the low school instruction of this sample and time patient spent to seek for specialized attention. Hypnic headache syndrome was seen with an unusual frequency.