Immediate post-craniotomy headache
Immediate post-craniotomy headache
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DOI：
10.1177/0333102413479833
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发表时间：
2013-08-01
期刊：
影响因子：
4.9
通讯作者：
Hora, Edilene C.
中科院分区：
文献类型：
--
作者：
de Oliveira Ribeiro, Maria do Carmo;Pereira, Carlos U.;Hora, Edilene C.
Introduction: Headache is the most common adverse event immediately following craniotomy and is due to the surgical procedure and meningeal irritation.Objectives: The aim of this study was to investigate the prevalence of headache during the first week after a craniotomy, as well as headache intensity, whether pain was registered in the patient's medical records, the use of analgesics and predictors of headache.Methods: Ninety-one patients who underwent craniotomy were evaluated from the first to the seventh post-operative day. The variables analysed were gender, age, medical history, indication for craniotomy, surgery, occurrence of headache, pain registration in the medical records, length of hospital stay and analgesics consumption.Results: On the second post-operative day, 29.2% of patients had a headache and there was under-reporting of this pain in the patients' records. The analgesics used were non-steroidal anti-inflammatory in 75% of cases. An age of 4 hours (odds ratio=3.7, p=0.019) were associated with the occurrence of immediate post-craniotomy headache.Conclusion: Further training should be provided to professionals caring for patients undergoing craniotomy to better manage post-operative headache.
