Cross-sectional, hospital-based analysis of headache types using ICHD-3 criteria in the Middle East, Asia, and Africa: the Head-MENAA study

作者：Hamit Genç, Betül B. Baykan, H. Bolay, Derya Uludüz, Isın Ünal-Çevik, Najib Kissani, Otgonbayar Luvsannorov, Mansoureh Togha, Asena Ayça Özdemir, Aynur Özge, on behalf of Head-MENAA study group, M. Cakan, AK Ak, Fatih Rıza Çelik, M.O. Orun, Demet Şeker, A. Kucuk, S Ozkan, Müge Kiraz, T.C. Sirin, R. Ocal, H.A. Hakyemez, M.O. Yener, V.A. Serim, N Cinar, Emre Ünal, F.M. Domac, M.F. Ates, BG Turkoglu, Gamze Gürsoy, S Cekic, S.K. Aslan, D Agircan, A.C. Oktar, E.A. Demirel, P. Gelener, EAA Ibrahim, A Evlice, G. Gorken, ZS Sanli, B.R.H. Bayır, N Tepe, T. Okluoglu, TG Demir, M.Y. Badr, D Vuralli, Elham Jafari, B Polat, A. Ermis, E. Khanmammadov, O. Yolcu, B. Kul, F. Sakadi, Samiye Ulutas, Tülin Aktürk, MT Ketema, Sulagna Lala, A.P.S.A. Cedric, SK Velioglu, O. Kırbasoglu, R.R. Moustafa, A.G. Nowar, S.C. Kabay, V.K. Gumanovna, Y.M. Yifru, Somayeh Nasergivehchi, Ilaha Azizova, O. Kizek, Esme Ekizoğlu, EK Orhan, D. Melka, B. Alemayehu · 发表于：The Journal of Headache and Pain · 年份：2023 · DOI：10.1186/s10194-023-01555-8 · 被引用次数：21 · 研究领域：Migraine and Headache Studies、Cerebral Venous Sinus Thrombosis、Acute Ischemic Stroke Management

BACKGROUND: Headaches are frequent neurological disorders that are yet to be unveiled and treated comprehensively worldwide. Bearing in mind that the distribution of headache subtypes in neurology clinics (NC) is essential for planning appropriate diagnostic and therapeutic approaches, the primary goals of this multi-centric study are to carry out inter-regional comparisons by using current diagnostic criteria with evaluations of neurologists to delineate headache burden. METHODS: A cross-sectional study between April 1 and May 16, 2022 was conducted with the participation of 13 countries from the Middle East, Asia, and Africa. Patients were included in the study on a specific day each week during five consecutive weeks. All volunteers over the age of 18 and whose primary cause for admission was headache were examined. The patients admitted to NC or referred from emergency services/other services were evaluated by neurologists by means of the International Classification of Headache Disorders (ICHD-3) criteria. RESULTS: Among the 13,794 patients encountered in NC, headache was the primary complaint in 30.04%. The headache patients' mean age was 42.85 ± 14.89 (18-95 years), and 74.3% were female. According to the ICHD-3 criteria, 86.7% of the main group had primary headache disorders, 33.5% had secondary headaches, 4% had painful cranial neuropathies along with other facial and headaches, and 5.2% had headaches included in the appendix part showing some overlapping conditions....