Chronic daily headache with medication overuse: predictors of outcome 1 year after withdrawal therapy.
Eur J Neurol
; 16(6): 705-12, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-19236455
ABSTRACT
BACKGROUND AND PURPOSE:
We examined prospectively the results of withdrawal therapy in 80 patients with probable medication overuse headache. The aim was to identify baseline patient characteristics that might predict outcome after 1 year (end of study).METHODS:
We classified patients according to results of withdrawal therapy measured as the improvement of headache days (HD) from baseline to end of study.RESULTS:
Thirty-six per cent (29/80) had at least 50% improvement. Sixty-four per cent (51/80) had <50% improvement, and among these, 30% (24/80) had <10% improvement. The following baseline characteristics were associated with poor outcome of withdrawal therapy use of codeine-containing drugs, low self-reported sleep quality, and high self-reported bodily pain as measured by the quality of life tool SF-36.CONCLUSION:
Before suggesting withdrawal therapy, one should probably pay more close attention to sleep problems.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
/
8_ODS3_consumo_sustancias_psicoactivas
Problema de salud:
2_sustancias_psicoativas
/
8_opioid_abuse
Asunto principal:
Síndrome de Abstinencia a Sustancias
/
Trastornos de Cefalalgia
/
Cefaleas Secundarias
/
Analgésicos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Eur J Neurol
Asunto de la revista:
NEUROLOGIA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Noruega