The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

被引：7

作者：

Babiloni, Alberto Herrero ^{[1
,2
,8
]}

Bouferguene, Yasmine ^{[2
]}

Exposto, Fernando G. ^{[3
,4
]}

Beauregard, Roxanne ^{[2
]}

Lavigne, Gilles J. ^{[2
,5
]}

Moana-Filho, Estephan J. ^{[6
]}

Arbour, Caroline ^{[2
,7
]}

机构：

[1] McGill Univ, Div Expt Med, Montreal, PQ, Canada

[2] Hop Sacre Coeur Montreal CIUSSS Nord Ile Montreal, Montreal, PQ, Canada

[3] Aarhus Univ, Dept Dent & Oral Hlth, Sect Orofacial Pain & Jaw Funct, Aarhus, Denmark

[4] Scandinavian Ctr Orofacial Neurosci SCON, Aarhus, Denmark

[5] Univ Montreal, Fac Dent Med, Montreal, PQ, Canada

[6] Univ Minnesota, Sch Dent, Div TMD & Orofacial Pain, Minneapolis, MN USA

[7] Univ Montreal, Fac Nursing, Montreal, PQ, Canada

[8] McGill Univ, Div Expt Med, Strathcona Anat & Dent Bldg,3640 Univ, Montreal, PQ H3A 0C7, Canada

来源：

PAIN | 2023年 / 164卷 / 12期

关键词：

Headache; Traumatic brain injury; Pain; Prevalence; Brain; Concussion; POST-CONCUSSION SYMPTOMS; CONSTRUCT-VALIDITY; NATURAL-HISTORY; STRESS-DISORDER; MILD; EPIDEMIOLOGY; OUTCOMES; RISK; PAIN; CLASSIFICATION;

D O I：

10.1097/j.pain.0000000000002949

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Supplemental Digital Content is Available in the Text.The estimated pooled prevalence of PTH after TBI is high across time, not changing when considering TBI severity, age, or sex among others. The most recent prevalence estimate of post-traumatic headache (PTH) after traumatic brain injury (TBI) in veterans and civilians dates back to 2008. The prevalence was found to be 57.8%, with surprising higher rates (75.3%) in mild TBI when compared with those with moderate/severe TBI (32.1%). However, the revision of mild TBI diagnostic criteria and an historic peak of TBI in the elderly individuals attributed to the ageing population may lead to different results. Thus, we conducted a systematic review and meta-analysis to assess the updated prevalence of PTH during the past 14 years only in civilians. A literature search was conducted following PRISMA guidelines guided by a librarian. Screening, full-text assessment, data extraction, and risk of bias assessment were performed blindly by 2 raters. Meta-analysis of proportions using the Freeman and Tukey double arcsine method of transformation was conducted. Heterogeneity, sensitivity analysis, and meta-regressions were performed with the predictors: year of publication, mean age, sex, TBI severity, and study design. Sixteen studies were selected for the qualitative analysis and 10 for the meta-analysis. The overall prevalence estimate of PTH was 47.1%, (confidence interval = 34.6, 59.8, prediction intervals = 10.8, 85.4), being similar at different time points (3, 6, 12, and 36+ months). Heterogeneity was high, and none of the meta-regressions were significant. The overall prevalence of PTH after TBI over the past 14 years remains high even if assessed only in civilians. However, the prevalence rates attributed to mild and moderate/severe TBI were similar, differing significantly from previous reports. Efforts are needed to improve TBI outcomes.

引用

页码：2627 / 2641

页数：15