Abstract Details

Title Primary Headache Disorders at a Tertiary Health Facility: Prevalence and Treatment Patterns

Topic Headache

Presentation(s) P03 - (-)

Poster/Presentation
Number 114

Objective

Background BACKGROUND: Headache is a common neurological symptom. Primary headaches are under diagnosed, undertreated, with a significant impact on social activities and work.

Design/Methods DESIGN/METHODS: A cross sectional study was carried out amongst staff of the Lagos State University Teaching Hospital (LASUTH) in Lagos, Nigeria. A total of 402 staff were selected by simple random sampling and administered a detailed structured headache assessment questionnaire incorporating demographical data, headache characteristics and treatment patterns. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004).

Results RESULTS: The participants comprised 221(55%) medical staff and 181 (45%) non-medical staff with 168(41.8%) males and 234(58.2%) females. The mean age was 36.9±7.9 years. The overall headache prevalence was 39.3% (158/402) with female predominance (Female: male ratio, 2:1). (p < 0.0001) Tension-type headache was most prevalent at 72.8%% (115/158) and migraine, 18.9% (30/158). Unclassifiable headache constituted 8.2% (13/158). Migraine headache showed female preponderance (Female, 23.7%: Male, 5%). (p= 0.000) Overall, the most common aggravating factor was physical activity (15.2%) whilst the relieving factor was rest (22.8%) followed by over-the counter analgesic use (11.2%). A significant number of participants, 127/158 (80.4%) did not seek medical consultation compared with 31/158 (19.6%) who did. (p =0.000). Of the latter, 26/31 (83.9%) consulted the general practitioner (GP) whilst 5/31 (16.1%), the neurologist. Nine (29.0%) of those that sought medical consultation had appropriate treatment.

Conclusions CONCLUSIONS: The prevalence of primary headaches is high in the population studied. Headache disorders were not recognised as that requiring care by most of the staff of this tertiary health facility thus education and awareness is required to increase health care utilization.

Authors/Disclosures
Olajumoke Oshinaike, MD (Lagos State University College of Medicine) PRESENTER	Dr. Oshinaike has nothing to disclose.
Oluwadamilola O. Ojo, MD (University of Lagos)	Dr. Ojo has nothing to disclose.
Njide Okubadejo, MD, FAAN (University of Lagos)	The institution of Dr. Okubadejo has received research support from United Kingdom National Institute for Health and Care Research . The institution of Dr. Okubadejo has received research support from Michael J Fox Foundation for Parkinson's Research.
Alessia Di Sapio	Alessia Di Sapio has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Roche . Alessia Di Sapio has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Alexion . Alessia Di Sapio has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for Merck. Alessia Di Sapio has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Novartis. Alessia Di Sapio has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for Sanofi . The institution of Alessia Di Sapio has received research support from Ministero della Salute. The institution of Alessia Di Sapio has received research support from Sanofi.

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