Acil Serviste Sekonder Tip Baş Ağrı Tanılı Hastalarda Ağrı Karakteri ile Radyolojik Görüntüleme Bulgularının Karşılaştırılmalı Olarak Değerlendirilmesi; Prospektif Analiz

Year 2023, Volume: 25 Issue: 2, 225 - 230, 31.08.2023

Erhan Akdaş , Onur İncealtın , Dilay Satılmış

https://doi.org/10.24938/kutfd.1288186

Abstract

Amaç: Sekonder tip baş ağrıları acil serviste %4-5 oranında gözlenir. Bu çalışmada sekonder tip baş ağrısı olan hastalarda ağrı karakterinin radyolojik görüntüleme bulguları ile değerlendirildiğinde hastaların konsültasyon, yatış, taburculuk kararı gibi ortaya çıkan sonuçlarının prospektif olarak değerlendirilmesi amaçlandı.

Gereç ve Yöntemler: Bu, tek merkezli, prospektif ve metodolojik bir çalışmadır. International Headache Society kriterlerine göre sekonder tipte baş ağrısı olan toplamda 200 hastanın sosyo-demografik özellikleri, acil servise başvuru muayene bulguları ve tetkik sonuçları kayıt altına alındı.

Bulgular: Hastaların %50’sinde zonklayıcı tipte, %29.5’inde sıkıştırıcı tipte ağrı mevcuttu ve sıkıştırıcı tipte ağrısı olan hastalarda BT’de patolojik bulgu saptanma oranı anlamlı oranda daha yüksek idi (p=0.019). Konsültasyon istenen hastaların yatış oranı anlamlı oranda daha yüksek idi ve yatış kararı verilen hastaların %69.0’ında sıkıştırıcı karakterde  ağrı mevcuttu (p<0.05).

Sonuç: Baş ağrısı ile acil servise başvuran hastalarda sekonder tip baş ağrısı tanısında ağrı karakterlerinin dikkatle sorgulanmasının, radyolojik görüntüleme endikasyonlarının iyi değerlendirilmesinin gerektiğinde diğer klinikler ile işbirliği içinde çalışılmasının hasta adına daha hızlı ve doğru karar verilmesinde önemli rol oynadığı gözlendi.

Keywords

Acil servis, baş ağrısı, ağrı karakterleri, radyolojik bulgular

COMPARATIVE EVALUATION OF PAIN CHARACTERISTICS AND RADIOLOGICAL IMAGING FINDINGS IN PATIENTS WITH SECONDARY TYPE HEADACHE IN THE EMERGENCY DEPARTMENT; A PROSPECTIVE ANALYSIS

Abstract

Objective: Secondary type headache is observed at a rate of 4-5% in the emergency department. In this prospecitve study, it was aimed to evaluate the results of patients with secondary headache, such as consultation, hospitalization, and discharge decision in correlation with radiological imaging findings.

Material and Methods: This is a single-center, prospective and methodological study. According to International Headache Society criteria, sociodemographic characteristics, emergency department examination findings of a total of 200 patients with secondary headache were recorded.

Results: Fifty percent of the patients had throbbing pain, 29.5% had constrictive pain, and the rate of pathological findings on CT was significantly higher in patients with squeezing pain (p=0.019). The hospitalization rate was significantly higher in the patients for whom consultation was requested, and 69.0% of the patients who were admitted to the hospital had constrictive pain (p<0.05).

Conclusion: It has been observed that careful questioning of pain characteristics, good evaluation of radiological imaging indications, and working in cooperation with other clinics when necessary in the diagnosis of secondary type headache in patients presenting to the emergency department with headache play an important role in making faster and more accurate decisions on behalf of the patient.

Keywords

Emergency department, headache, pain characteristics, radiological imagings

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