Chronic daily headache in Taipei, Taiwan: prevalence, follow-up and outcome predictors
Chronic daily headache in Taipei, Taiwan: prevalence, follow-up and outcome predictors
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DOI：
10.1046/j.1468-2982.2001.00294.x
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发表时间：
2001-12-01
期刊：
影响因子：
4.9
通讯作者：
Wang, SJ
中科院分区：
文献类型：
--
作者：
Lu, SR;Fuh, JL;Wang, SJ
我们在台湾台北市年龄大于或等于15岁的受试者中进行了一项两阶段的基于人群的头痛调查。在过去的一年中，慢性每日头痛（CDH）的主题进行了识别，访谈和随访。CDH定义为头痛频率>15天/月，持续时间>4小时/天。在3377名参与者中，108名（3.2%）符合CDH的标准，女性（43%）的患病率高于男性（1.90%）。TM是最常见的亚型（55%），其次是CTTH（44%）。34%的CDH受试者过度使用镇痛药。在2年随访时，35%的CDH受试者仍患有CDH。随访中持续性CDH的重要预测因素包括：年龄较大（≥ 40岁）（RR=2.4）、CDH发病32年后（RR=1.8）、CDH病程≥ 6年（RR=2.0）、药物过度使用（RR=1.8）和“每日”头痛（RR=2.1）。我们发现CDH在社区中并不罕见，其患病率在不同人群中相似。老年受试者和药物过度使用者的病程可能更长。
We conducted a two-stage population-based headache survey among subjects aged greater than or equal to15 in Taipei, Taiwan. Subjects with chronic daily headache (CDH) in the past year were identified, interviewed and followed-up. CDH was defined as a headache frequency >15 days/month, with a duration >4 h/day. Of the 3377 participants, 108 (3.2%) fulfilled the criteria for CDH, with a higher prevalence in women (43%) than men (1.90%). TM was the most common subtype (55%), followed by CTTH (44%). Thirty-four per cent of the CDH subjects overused analgesics. At the 2-year follow-up, 35% of the CDH subjects still had CDH. The significant predictors for persistent CDH it follow-up included: older age (greater than or equal to40 years) (RR=2.4), CDH onset after 32 years (RR=1.8), CDH duration greater than or equal to6 years (RR=2.0), medication overuse (RR=1.8), and 'daily' headache (RR=2.1). We found that CDH is not uncommon in the community and its prevalence is similar among different populations. Older subjects and those with medication overuse may have a more protracted course of illness.