The challenge of managing headache disorders in a tertiary referral neurology clinic in Rwanda.
The challenge of managing headache disorders in a tertiary referral neurology clinic in Rwanda.
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在卢旺达的第三级转诊神经病学诊所管理头痛障碍的挑战。
DOI：
10.17712/nsj.2016.2.20150640
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Misson JP
中科院分区：
文献类型：
--
作者：
Kaputu-Kalala-Malu C;Walker TD;Ntumba-Tshitenge O;Mafuta EM;Tugirimana PL;Misson JP
目的：确定在神经科门诊接受治疗的患者中头痛的类型、处理和结果。本研究于2015年2月至5月在卢旺达布塔雷大学布塔雷大学教学医院神经内科门诊进行。我们从所有在36个月期间因头痛就诊的患者的病历中提取人口统计学数据、头痛特征和相关情况、先前的止痛药物使用、会诊前等待时间、临床旁调查结果、根据国际头痛疾病分类的最终诊断、治疗以及3个月的临床结果。使用EPI数据和社会科学统计包软件版本21.0(美国伊利诺伊州芝加哥SPSS公司)软件进行数据处理。头痛障碍占所有神经科会诊的四分之一。患者主要是女性(67%)和年轻(78%；45岁)。三分之一(34%)的患者出现慢性紧张型头痛。神经影像显示少数患者有异常(14%)。阿米替林是管理中最常用的药物(60%)。其中40%的患者随访3个月后没有任何临床改善。头痛是门诊神经科诊所最常见的主诉之一，有广泛的潜在诊断，神经成像方面也有很大的收益。很大一部分患有头痛障碍的人短期效果很差。对于这些患者，应该研究新的治疗方法，如头痛支持小组和替代药物。
To determine the pattern, management, and outcome of headaches among patients treated at Outpatient Neurology Clinic. A retrospective study was conducted at the Out-Patient Neurology Clinic of the Butare University Teaching Hospital, University of Rwanda, Butare, Rwanda between February and May 2015. We extracted the demographic data, headache characteristics, and associated conditions, prior pain-relieving medication use, waiting time before consultation, the results of paraclinical investigations, final diagnosis according to the International Classification of Headache Disorders, management, and 3-month clinical outcome from the medical records of all patients who consulted for headache over 36-month period. Epi Data and Statistical package for Social sciences software version 21.0 (SPSS Inc, Chicago, IL, USA) software were used for data processing. Headache disorders represent a quarter of all neurological consultations. Patients were predominantly female (67%) and young (78% <45 years old). One-third (34%) presented with chronic tension-type headache. Neuroimaging demonstrated an abnormality in a significant minority (14%). Amitriptyline was the most commonly used drug (60%) in management. Forty percent of those patients followed for 3 months did not experience any clinical improvement. Headache is among the most common medical complaints in the Outpatient Neurology Clinic, with a wide array of underlying diagnoses, and a significant yield on neuroimaging. A significant proportion of those suffering from headache disorders have poor short-term outcomes. Novel approaches, such as headache support groups and alternative pharmacological agents, should be investigated for these patients.
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DOI：
10.1186/s10194-015-0496-6
发表时间：
2015-02-18
期刊：
The journal of headache and pain
影响因子：
--
作者：
Linde M;Steiner TJ;Chisholm D
通讯作者：
Chisholm D
影响因子：
3.6
作者：
Rieder, Heide;Elbert, Thomas
通讯作者：
Elbert, Thomas
影响因子：
2.7
作者：
Brett, Jonathan;Murnion, Bridin
通讯作者：
Murnion, Bridin
影响因子：
4.9
作者：
HAIMANOT, RT;SERAW, B;EKSTEDT, J
通讯作者：
EKSTEDT, J
影响因子：
5
作者：
Locker, Thomas E.;Thompson, Catriona;Mason, Suzanne M.
通讯作者：
Mason, Suzanne M.