Evidence map›Paper›PMID 26324056›Full record

ArticleBMC research notes2015

Trigger factors in primary headaches subtypes: a cross-sectional study from a tertiary centre in Greece.

Panagiotis Iliopoulos, Dimitris Damigos, Elli Kerezoudi, Georgia Limpitaki, Michael Xifaras, Dionysoula Skiada, Aikaterini Tsagkovits, Petros Skapinakis

Abstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Panagiotis IliopoulosDepartment of Neurology, Pammakaristos Hospital, Iakovaton 43, Athens, 11142, Greece. takis79@yahoo.gr.
Dimitris DamigosDepartment of Psychiatry, University of Ioannina School of Medicine, 45110, Ioannina, Greece. ddamigos@gmail.com.
Elli KerezoudiDepartment of Neurology, Pammakaristos Hospital, Iakovaton 43, Athens, 11142, Greece. el.kerezoudi@yahoo.gr.
Georgia LimpitakiDepartment of Neurology, Pammakaristos Hospital, Iakovaton 43, Athens, 11142, Greece. glimpita@yahoo.gr.
Michael XifarasDepartment of Neurology, Pammakaristos Hospital, Iakovaton 43, Athens, 11142, Greece. m_xifaras@yahoo.gr.
Dionysoula SkiadaDepartment of Neurosurgery, University Hospital of Ioannina, 45110, Ioannina, Greece. skiada.silia@gmail.com.
Aikaterini TsagkovitsDepartment of Otorhinolaryngology, Pammakaristos Hospital, 11142, Athens, Greece. tsagkovits@yahoo.gr.
Petros SkapinakisDepartment of Psychiatry, University of Ioannina School of Medicine, 45110, Ioannina, Greece. p.skapinakis@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that common headache triggers contribute to the onset of headache attacks on predisposed individuals and are considered important in the prevention of headache. The aim of this study was to compare the different characteristics of triggers among the most common primary headache subtypes (migraine without aura, migraine with aura and tension type headache).

methodsA total of 116 headache patients of the neurology outpatient department of a tertiary hospital in Athens were selected according to the criteria of the International Classification of Headaches-3nd Edition Beta. Patients were interviewed using a questionnaire that contained 35 potential trigger factors.

resultsThe findings showed that migraine and tension-type headache patients report multiple triggers, on a frequent but variable basis. The most frequent triggers reported by all subjects were stressful life events followed by intense emotions. The same applies to both genders, as well as the three headache subgroups. Patients suffering from migraine with aura reported the highest mean number of trigger per person and the highest frequency in almost all the trigger categories. Furthermore, patients with migraine with aura were more likely to report the following triggers: oversleeping, premenstrual period, stressful life events, hot/cold weather, relaxation after stress, menstruation, wind, intense emotions, shining, hunger and bright sunlight. These associations were mostly independent of the sociodemographic characteristics and the presence of anxiety or depressive symptoms.

conclusionThe sensitivity to trigger factors should be considered by both clinicians and headache sufferers.

Indexed as

Cross-Sectional StudiesGreeceHeadacheHumans

Identifiers

PMID26324056
PMCPMC4553925

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.