Al Momani Miral, Almomani Basima A, Masri Amira T
Faculty of Medicine, Jordan University of Science and Technology, Department of Pediatrics and Neonatology, Irbid, Jordan.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Ann Med Surg (Lond). 2021 May 2;65:102374. doi: 10.1016/j.amsu.2021.102374. eCollection 2021 May.
Headache is the most encountered manifestation of pain in childhood. The purpose of this study was to investigate the incidence and clinical characteristics of primary headaches. Further, the factors associated with primary headache were examined.
A retrospective study was conducted among young children and adolescents over 3 years at a tertiary referral teaching hospital in North Jordan. Relevant patient information was obtained by reviewing patients' medical records.
This study included 194 children (95 males, 99 females). The incidence rate of primary headache in the current study was 2.815 per 1000 children visited pediatric clinic. The mean age of patients at the time of headache onset was 10 years, and about half of them were males (95/194; 49%). Approximately 30% (56/194) had a family history of headache. Migraine headaches were the most commonly reported types (87/194; 44.8%) and only 17/194; 8.7% suffered from tension type headaches. Approximately, 40% (84/194) of patients reported severe headache and a third of them (67/194; 34.5%) complained of daily headaches. Pain location was reported as bilateral in most patients (153/194; 78.9%). About one fifth (41/194; 21.1%) stated that their headache was precipitated by sleep deprivation. Abnormal serum level of vitamin D and family history of headache were significantly associated with primary headache (p < 0.001).
These findings highlight the importance of early detection and management of headaches among pediatric population. In addition, screening vitamin D status should be encouraged for children presented with primary headaches.
头痛是儿童时期最常见的疼痛表现。本研究的目的是调查原发性头痛的发病率和临床特征。此外，还研究了与原发性头痛相关的因素。
在约旦北部一家三级转诊教学医院对3岁以上的幼儿和青少年进行了一项回顾性研究。通过查阅患者病历获取相关患者信息。
本研究纳入了194名儿童（95名男性，99名女性）。本研究中原发性头痛的发病率为每1000名就诊儿科门诊的儿童中有2.815例。头痛发作时患者的平均年龄为10岁，其中约一半为男性（95/194；49%）。约30%（56/194）有头痛家族史。偏头痛是最常报告的类型（87/194；44.8%），只有17/194；8.7%患有紧张型头痛。约40%（84/194）的患者报告有严重头痛，其中三分之一（67/194；34.5%）抱怨每天头痛。大多数患者报告疼痛部位为双侧（153/194；78.9%）。约五分之一（41/194；21.1%）表示他们的头痛是由睡眠不足引发的。血清维生素D水平异常和头痛家族史与原发性头痛显著相关（p<0.001）。
这些发现突出了儿童人群中头痛早期检测和管理的重要性。此外，对于出现原发性头痛的儿童，应鼓励筛查维生素D状态。
