HUBUNGAN DERAJAT KEPARAHAN CEDERA KEPALA DENGAN TIPE NYERI KEPALA PASCA CEDERA
Post traumatic headache is the most commonly reported complaints after injury, with a prevalence ranging from 30-90%. Pain management after head injury is quite difficult, because it has no specific clinical picture. There are differences in the results of research on the type of headache that is of...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2013
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/118809/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=58785 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Post traumatic headache is the most commonly reported complaints after injury,
with a prevalence ranging from 30-90%. Pain management after head injury is quite
difficult, because it has no specific clinical picture. There are differences in the results
of research on the type of headache that is often accured post-injury. Research that
links the severity of head injuries by type of headache post injury are limited. The aim
of this study is to determine the relationship of the degree of severity head injury with
the type of post traumatic headache.
The method is a cross-sectional study. The subject study was performed 70
patients in the neurology ward and the intermediate care unit RSUP Dr. Sardjito
Yogyakarta and RSUP Dr. Soeradji Tirtonegoro Klaten sequentially after inclusion and
exclusion criteria. Subjects were divided into two groups: mild head injury and
moderate to severe head injury. Criteria for assessment of the degree of severity with
the International Classification of Headache Disorder, 2nd edition (ICHD-II) and type
headache with ICHD-II and The Cervicogenic Headache International Study Group
(CHISG).
Most of the post traumatic headaches have characteristics of moderate intensity
(65.7%), unilateral location (61.4%), and on physical examination we found no sign of
extracranial lesions (37.1%). The most common type of post traumatic headache was
migraine type (62.8%), followed by tension-type (18.6%) and cervicogenic type
(18.6%). But in bivariate analysis we did not capture a significant association with the
severity of head injury (PR = 2.541, 95% CI = 0.938 to 6882, p = 0.064). On
multivariate analysis we found no significant correlation between the severity of head
injuries with migraine type of post traumatic headache (PR = 0.287, 95% CI = 0.021 to
3.926, p = 0.349). The conclusion of this study is the most common type of post
traumatic headache was migraine, but no significant association with the degree of
severity of head injury. |
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