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The course of headache in patients with moderate-to-severe headache due to mild traumatic brain injury: a retrospective cross-sectional study

DC Field Value Language
dc.contributor.author김용배-
dc.contributor.author정준호-
dc.contributor.author주진양-
dc.contributor.author홍창기-
dc.date.accessioned2018-07-20T07:29:19Z-
dc.date.available2018-07-20T07:29:19Z-
dc.date.issued2017-
dc.identifier.issn1129-2369-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/160212-
dc.description.abstractBACKGROUND: Little is known about the long-term course of headache in patients with moderate-to-severe headache due to traumatic brain injury (TBI). We evaluated the course of headache in patients with moderate-to-severe headache due to mild TBI. METHODS: Since September 2009, patients with TBI prospectively rated their headache using a numeric rating scale (NRS). From the database containing 935 patients with TBI between September 2009 and December 2013, 259 patients were included according to following criteria: (1) newly onset moderate-to-severe headache (NRS ≥ 4) due to head trauma; (2) age ≥ 15 years; (3) Glasgow Coma Scale ≥ 13; (4) transient loss of consciousness ≤ 30 min; and (5) radiographic evaluation, such as computed tomography or magnetic resonance image. We evaluated initial and follow-up NRS scores to determine the significance of NRS changes and identified risk factors for moderate-to-severe headache at 36-month follow-up. RESULTS: At 36-month follow-up, 225 patients (86.9%) reported improved headache (NRS ≤ 3) while 34 (13.1%) reported no improvement. The NRS scores were significantly decreased within a month (P < 0.001). The follow-up NRS scores at 12-, 24-, and 36-months were lower than those at one month (P < 0.001). Multiple logistic regression analysis showed that post-traumatic seizure (odds ratio, 2.162; 95% CI, 1.095-6.542; P = 0.041) and traumatic intracranial hemorrhage (odds ratio, 2.854; 95% CI, 1.241-10.372; P = 0.024) were independent risk factors for moderate-to-severe headache at 36-month follow-up. CONCLUSIONS: The course of headache in patients with mild TBI continuously improved until 36-month follow-up. However, 13.1% of patients still suffered from moderate-to-severe headache at 36-month follow-up, for whom post-traumatic seizure and traumatic intracranial hemorrhage might be risk factors.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherSpringer Verlag Italia-
dc.relation.isPartOfJOURNAL OF HEADACHE AND PAIN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleThe course of headache in patients with moderate-to-severe headache due to mild traumatic brain injury: a retrospective cross-sectional study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorChang-Ki Hong-
dc.contributor.googleauthorJin-Yang Joo-
dc.contributor.googleauthorYu Shik Shim-
dc.contributor.googleauthorSook Young Sim-
dc.contributor.googleauthorMin A Kwon-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorJoonho Chung-
dc.identifier.doi10.1186/s10194-017-0755-9-
dc.contributor.localIdA00743-
dc.contributor.localIdA03731-
dc.contributor.localIdA03959-
dc.contributor.localIdA04445-
dc.relation.journalcodeJ03269-
dc.identifier.eissn1129-2377-
dc.identifier.pmid28429236-
dc.subject.keywordHead injury-
dc.subject.keywordHeadache-
dc.subject.keywordPost-traumatic headache-
dc.subject.keywordTraumatic brain injury-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.alternativeNameJoo, Jin Yang-
dc.contributor.alternativeNameHong, Chang Ki-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.contributor.affiliatedAuthorJoo, Jin Yang-
dc.contributor.affiliatedAuthorHong, Chang Ki-
dc.citation.volume18-
dc.citation.number1-
dc.citation.startPage48-
dc.identifier.bibliographicCitationJOURNAL OF HEADACHE AND PAIN, Vol.18(1) : 48, 2017-
dc.identifier.rimsid39068-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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