Evidence map›Paper›PMID 33409110›Full record

ArticleCureus2020

Clinical Characteristics and Management of Headache: A Real-Life Prospective, Observational Study From a Tertiary Care Center in Eastern India.

Soumyadarshan Nayak, Muktikanta Parida, Shanti Bhusan Das, Prabhat Kumar Padhi, Manoranjan Behera, Anant Patil, Amandeep Khurana, Santosh Kumar Swain

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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 at 3 institutions in 1 country.

Soumyadarshan NayakNeurology, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Muktikanta ParidaInternal Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Shanti Bhusan DasRadiodiagnosis, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Prabhat Kumar PadhiInternal Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Manoranjan BeheraInternal Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Anant PatilPharmacology, D Y Patil University - School of Medicine, Navi Mumbai, IND.
Amandeep KhuranaInternal Medicine, Khurana Clinic, Mumbai, IND.
Santosh Kumar SwainInternal Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.
Sriram Chandra Bhanja Medical College Hospital · IND.Y. Patil University · INPain Clinic of India · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe clinical profile and management pattern of headache in patients presenting to a tertiary care center.  Methods: In this observational study, demographics, radiological investigations, triggers, and treatment pattern in patients aged ≥ 14 years presenting with headache were recorded. Disability and severity of headache were assessed with Migraine Disability Assessment (MIDAS) score, Visual Analogue Scale (VAS), and Headache Impact Test (HIT-6) in case of migraineurs and VAS and HIT-6 for all other headache disorders. Patients were evaluated at baseline and after three and six months post-treatment.

resultsOut of 400 patients (60.25% females and 39.75% males), 277 (69.25%) had primary headache among whom 119 (42.96%) had migraine without aura. Stress, menstruation, fasting, and inadequate sleep were common triggers for migraine. Nausea, vomiting, photo-phonophobia and neck pain were the most common accompanying symptoms in patients with headache. Out of 106 (38.3%) patients with tension-type headache, 68.9% were episodic. In the migraine subset, 81% presented with moderate to severe disability at baseline, which changed to minimal to mild disability at three and six months post-treatment (p < 0.001). For abortive treatment, 130 (79.7%) patients were prescribed naproxen, domperidone, and sumatriptan. In 69 (42.3%) patients, valproic acid/divalproex was used for prophylaxis. Most common causes of secondary headaches (30.75%) were intracranial bleeds and cerebral venous sinus thrombosis. Most common abnormalities on computerized tomography were intracerebral hemorrhage, subarachnoid hemorrhage, sinusitis, and space-occupying lesions (SOLs).

conclusionIn our study, migraine was the most common etiology of headache. Headache was more common in females than males, and primary headache was more common than secondary headache. Sodium valproate was the commonly used prophylaxis in migraine.

Indexed as

clinical profileheadachemigrainetension-type headache

Identifiers

PMID33409110
PMCPMC7779133
OpenAlexW3117131208

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.