Has there been any changes to the frequency and type of headaches in children and adolescents referred to the neurology ward over the last 10 years?
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 5
Abstract
<b>Introduction. </b>Headaches have been a known and frequently described problem for a long time. The aim of the study is to establish whether the number of patients hospitalised due to headaches as well as the percentage share of patients with various types of headaches have changed over the last ten years. An attempt to assess whether there is a relation between headaches, IQ and difficulties with learning has also been made.<br><b>Patients and method. </b>Headaches among patients hospitalised in the clinic in the years of 2010-2012 (analysed period) and 2000-2002 (reference period). Headaches were diagnosed in 259 patients (111 children in the reference period and 148 children in the analysed period).<br><b>Results.</b> In recent years the number of patients hospitalised for headaches has increased significantly. There is an important connection between the type of headache and the duration of hospitalisation as well as between the age and sex (p = 0.003). At the beginning secondary headaches constituted the highest number of cases and 10 years later it was tension-type headaches. In the reference period a significant percentage share of children with lower than average IQ is noticeable, in particular in tension-type headaches. In the analysed period the percentage of these patients decreased in all types of headaches. In recent years a correlation between the type of headache and learning difficulties has been observed. It has also been concluded that in the analysed period in pupils with headaches and high IQ learning difficulties occur less frequently (negative correlation, p = 0.006).<br><b>Conclusions. </b>The increasing number of patients with headaches referred to the department of neurology may be a factor for undertaking new epidemiological research. It seems that the improvement in the out-patients’ diagnostics of headaches through ongoing post-diploma training would decrease the number of patients hospitalised for secondary headaches. There is a call for better individual care and the adaptation of education requirements to the pupils’ capabilities which may contribute to a decrease in the number of patients with headaches and lower than average intelligence.
Authors and Affiliations
Ewa Emich-Widera, Monika Kałużna-Czyż, Paulina Bryśkiewicz, Aleksandra Bęczkowska, Milena Franckiewicz, Lidia Przeklasa, Karina Kowalczyk
Keywords
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