Factors associated with the onset and remission of chronic daily headache in a population-based study
Factors associated with the onset and remission of chronic daily headache in a population-based study
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DOI：
10.1016/s0304-3959(03)00293-8
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发表时间：
2003-11-01
期刊：
影响因子：
7.4
通讯作者：
Lipton, RB
中科院分区：
文献类型：
--
作者：
Scher, AI;Stewart, WF;Lipton, RB
慢性每日头痛（CDH）的病因和预后还没有很好的understood.本研究的目的是描述因素，预测CDH发病或缓解在成人population.Potential案件（180 +头痛每年，n = 1134）和对照组（2至104头痛每年，它= 798）进行了采访两次，平均11个月的后续行动。评估基线时CDH患病率的相关因素。在随访时头痛频率增加到每年180 +的对照组中，评估了CDH的发病率和发病的危险因素。在随访时头痛频率下降的CDH病例中评估了预后因素。CDH在女性、白人和受教育程度较低的人群中更常见。CDH病例更可能是以前结婚（离婚，丧偶，分居）。肥胖，并报告医生诊断为糖尿病或关节炎。3%的对照组报告每年头痛180次或更多。肥胖和基线头痛频率与新发CDH显著相关。每周头痛少于1次的1年缓解率为14%，每年头痛少于180次的1年缓解率为57%。较高的教育程度、非白人、已婚和确诊的糖尿病患者预后较好，高中以下教育程度、白人和已婚者基线时CDH风险较高，随访时缓解的可能性较低。新发CDH与基线头痛频率和肥胖相关。(C)2003年国际疼痛研究协会。Elsevier B.V.出版，保留所有权利。
The etiology and prognosis of chronic daily headache (CDH) are not well understood.The aim of this study is to describe factors that predict CDH onset or remission in an adult population.Potential cases (180 + headaches per year, n = 1134) and controls (two to 104 headaches per year, it = 798) were interviewed two times over an average I I months of follow-up. Factors associated with CDH prevalence at baseline were evaluated. The incidence of CDH and risk factors for onset were assessed in controls whose headache frequency increased to 180 + per year at follow-up. Prognostic factors were assessed in CDH cases whose headache frequency fell at follow-up.CDH was more common in women, in whites, and those of less education. CDH cases were more likely to be previously married (divorced, widowed, separated). obese, and report a physician diagnosis of diabetes or arthritis.At follow-up. 3% of the controls reported 180 or more headaches per year. Obesity and baseline headache frequency were significantly associated with new onset CDH.In CDH cases. the projected 1-year remission rate to less than one headache per week was 14% and to less than 180 headaches per year was 57%. A better prognosis was associated with higher education, non-white race, being married, and with diagnosed diabetes.Individuals with less than a high-school education, whites, and those who were previously married had a higher risk of CDH at baseline and reduced likelihood of remission at follow-up. New onset CDH was associated with baseline headache frequency and obesity. (C) 2003 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.