Orientador(es)
Resumo(s)
Introdução: A cefaleia é o motivo mais frequente de referenciação à consulta de Neurologia. O elevado impacto nos cuidados de saúde, bem como no bem-estar pessoal, a par da escassez de estudos acerca da proveniência da referenciação dos doentes, demografia e classificação das cefaleias, motivou a realização deste estudo.
Objetivos: Constituem objetivos deste estudo, definir a proveniência dos doentes com diagnóstico primário de cefaleia referenciados à consulta de Neurologia, determinando a sua proporção relativa, bem como as características demográficas nos dois grupos etários analisados e prevalência dos diferentes subtipos de cefaleia.
Materiais e Métodos: Realizou-se um estudo observacional transversal retrospetivo, cuja amostra incluiu todos os doentes com diagnóstico primário registado de cefaleia, seguidos na consulta de Neurologia do Centro Hospitalar Cova da Beira de 2005 a 2015 (inclusive). Os dados foram recolhidos a partir da consulta dos processos clínicos dos doentes. A análise foi descritiva e debruçou-se sobre dados demográficos (idade e sexo), proveniência da referenciação e classificação das cefaleias por grupos etários: crianças e jovens (até aos 18 anos) e adultos (mais de 18 anos). O diagnóstico de cefaleia foi codificado de acordo com a Classificação Internacional de Cefaleias: 3ª edição beta – 2013 (ICHD-3 beta) da International Headache Society.
Resultados: 275 pacientes (69,1% do sexo feminino e 30,9% do sexo masculino) obtiveram diagnóstico primário de cefaleia. A idade média na série total (dos 5 aos 94 anos) foi de 38 anos, de 12 anos no grupo das crianças e jovens e de 48 anos no conjunto dos adultos. A maior parte dos doentes (38,2%) foi referenciada da consulta/internamento de outras especialidades médicas hospitalares. Classificaram-se as cefaleias em primárias (82,5%), secundárias (16,0%), e neuropatias cranianas dolorosas e outras dores faciais (1,5%). Dentro das cefaleias primárias, os subtipos mais frequentes nas crianças e jovens foram a enxaqueca (75,6%) e a cefaleia tipo tensão (17,1%), assim como nos adultos, correspondendo estas, neste último grupo, a 42,2% e 30,2%, respetivamente. A cefaleia secundária mais comum na série investigada foi a cefaleia atribuída a perturbação psiquiátrica (9,1%). As cefaleias predominaram no sexo feminino, quer no grupo das crianças e jovens (53,8%), quer no grupo dos adultos (75,4%).
Discussão: As características demográficas e a prevalência das cefaleias primárias por grupos etários são sobreponíveis a estudos hospitalares semelhantes. A maior parte dos doentes referenciados à consulta proveio de outra especialidade hospitalar. Verificou-se que a cefaleia atribuída a perturbação psiquiátrica foi muito frequente.
Introduction: Headache is the most frequent reason for referral to neurology consultation. The high impact on health care, as well as personal well-being, coupled with the paucity of studies on the origin of patient referral, demographics and headache classification, led to this study. Aims: The aims of this study are to determine the provenance of patients with primary headache diagnosis referred to Neurology consultation, by determining their relative proportion, as well as the demographic characteristics in the two groups analyzed and the prevalence of headache subtypes. Material and Methods: A cross-sectional retrospective observational study was conducted, which included all patients with primary diagnosis of headache followed at Hospital Center of Cova da Beira’s Neurology consultation from 2005 to 2015 (including). Data were collected from patients' clinical records. The analysis was descriptive and focused on demographic data (age and sex), source of referral and classification of headaches by age groups: children and youngsters (up to 18 years) and adults (18 years and over). The diagnosis of headache was coded according to the International Headache Society's International Classification of Headache Disorders: 3rd edition - 2013 (ICHD-3 beta). Results: 275 patients (69.1% female and 30.9% male) obtained a primary diagnosis of headache. The mean age in the total series (from 5 to 94 years) was 38 years, 12 years in the group of children and youngsters and 48 years in the set of adults. Most of the patients were referred from the consultation/internment of other hospital specialties (38.2%). Headache was classified as primary (82.5%), secondary (16.0%), and painful cranial neuropathy and other facial pain (1.5%). Among primary headaches, the most frequent subtypes in children and youngsters were migraine (75.6%) and tension-type headache (17.1%), as well as in adults, corresponding in the latter group to 42.2% and 30.2%, respectively. The most common secondary headache in the series investigated was headache attributed to psychiatric disturbance (9.1%). Headache predominated in females, both in the group of children and youngsters (53.8%) and in the adults group (75.4%). Discussion: The demographic characteristics and prevalence of primary headaches by age groups are overlapping with similar hospital studies. Most of the patients referred to the consultation came from another hospital specialty. It was found that headache attributed to psychiatric disorder was very frequent.
Introduction: Headache is the most frequent reason for referral to neurology consultation. The high impact on health care, as well as personal well-being, coupled with the paucity of studies on the origin of patient referral, demographics and headache classification, led to this study. Aims: The aims of this study are to determine the provenance of patients with primary headache diagnosis referred to Neurology consultation, by determining their relative proportion, as well as the demographic characteristics in the two groups analyzed and the prevalence of headache subtypes. Material and Methods: A cross-sectional retrospective observational study was conducted, which included all patients with primary diagnosis of headache followed at Hospital Center of Cova da Beira’s Neurology consultation from 2005 to 2015 (including). Data were collected from patients' clinical records. The analysis was descriptive and focused on demographic data (age and sex), source of referral and classification of headaches by age groups: children and youngsters (up to 18 years) and adults (18 years and over). The diagnosis of headache was coded according to the International Headache Society's International Classification of Headache Disorders: 3rd edition - 2013 (ICHD-3 beta). Results: 275 patients (69.1% female and 30.9% male) obtained a primary diagnosis of headache. The mean age in the total series (from 5 to 94 years) was 38 years, 12 years in the group of children and youngsters and 48 years in the set of adults. Most of the patients were referred from the consultation/internment of other hospital specialties (38.2%). Headache was classified as primary (82.5%), secondary (16.0%), and painful cranial neuropathy and other facial pain (1.5%). Among primary headaches, the most frequent subtypes in children and youngsters were migraine (75.6%) and tension-type headache (17.1%), as well as in adults, corresponding in the latter group to 42.2% and 30.2%, respectively. The most common secondary headache in the series investigated was headache attributed to psychiatric disturbance (9.1%). Headache predominated in females, both in the group of children and youngsters (53.8%) and in the adults group (75.4%). Discussion: The demographic characteristics and prevalence of primary headaches by age groups are overlapping with similar hospital studies. Most of the patients referred to the consultation came from another hospital specialty. It was found that headache attributed to psychiatric disorder was very frequent.
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Cefaleia Cefaleia Tipo Tensão Consulta Enxaqueca Referenciação