Uttarwar Pratik, Vibha Deepti, Prasad Kameshwar, Srivastava Achal Kumar, Pandit Awadh Kishor, Dwivedi Sada Nand
Department of Neurology (PU, DV, KP, AKS, AKP) and Department of Biostatistics (SND), All India Institute of Medical Sciences, New Delhi, India.
Neurol Clin Pract. 2020 Dec;10(6):473-479. doi: 10.1212/CPJ.0000000000000816.
To determine the association of smartphone use with occurrence of new-onset headache and/or increased severity of headaches in patients with primary headache.
In a cross-sectional study between June 2017 and December 2018, patients with primary headache were divided into 2 groups: smartphone users (SUs) and non-smartphone users (NSUs). A questionnaire was administered for headache characteristics and treatment taken. The primary objective was to determine the association of smartphone use with new-onset headache or increase severity. The secondary objective was to determine any differences in the requirement of acute medication and prophylaxis.
Four hundred patients were included in the study, of which 194 were NSUs and 206 were SUs. The NSUs were older with lower education and socioeconomic status. The headache characteristics were similar in both the groups, except for higher occurrence of aura (NSUs: 15 [7.7%] vs SUs: 36 [17.5%]; = 0.003) in the SU group. There was, however, higher proportion of patients taking analgesics (NSUs: 157 [80.9%] vs SUs: 197 [95.6%]; < 0.001), with less relief in headache with medication in the SU group. This was driven by increased pill count (low SUs: 5.0 [3.0; 10.0] vs high SUs: 10.0 [5.0; 15.0]; = 0.007) and poor response to medication in the high SU group.
The use of smartphone was associated with increase in requirement of acute medication and less relief with acute medication. Longitudinal studies may be required to confirm these findings.
确定原发性头痛患者使用智能手机与新发头痛的发生和/或头痛严重程度增加之间的关联。
在2017年6月至2018年12月的一项横断面研究中，原发性头痛患者被分为两组：智能手机使用者（SU）和非智能手机使用者（NSU）。针对头痛特征和所采取的治疗进行问卷调查。主要目的是确定使用智能手机与新发头痛或严重程度增加之间的关联。次要目的是确定急性药物治疗和预防需求方面的任何差异。
400名患者纳入研究，其中194名是非智能手机使用者，206名是智能手机使用者。非智能手机使用者年龄较大，教育程度和社会经济地位较低。两组的头痛特征相似，但智能手机使用者组中先兆的发生率较高（非智能手机使用者组：15例[7.7%] vs智能手机使用者组：36例[17.5%]；P = 0.003）。然而，服用镇痛药的患者比例较高（非智能手机使用者组：157例[80.9%] vs智能手机使用者组：197例[95.6%]；P < 0.001），智能手机使用者组中药物缓解头痛的效果较差。这是由于药片服用量增加（低智能手机使用量组：5.0[3.0；10.0] vs高智能手机使用量组：10.0[5.0；15.0]；P = 0.007）以及高智能手机使用量组对药物反应不佳所致。
使用智能手机与急性药物需求增加以及急性药物缓解效果较差有关。可能需要纵向研究来证实这些发现。
