TY - JOUR PY - 2011// TI - Headache prevalence in the population of L'Aquila (Italy) after the 2009 earthquake JO - Journal of headache and pain A1 - Guetti, Cristiana A1 - Angeletti, Chiara A1 - Papola, Roberta A1 - Petrucci, Emiliano A1 - Ursini, Maria Laura A1 - Ciccozzi, Alessandra A1 - Marinangeli, Franco A1 - Paladini, Antonella A1 - Varrassi, Giustino SP - 245 EP - 250 VL - 12 IS - 2 N2 - Stress induced by the events of daily life is considered a major factor in pathogenesis of primary tension-type headache. Little is known about the impact that could have a more stressful event, like a natural disaster, both in patients with chronic headache, both in people that do not had headache previously. The aim of the present study was to observe the prevalence of headache in the population following the devastating earthquake that affected the province of L'Aquila on April 6, 2009. The study population was conducted in four tent cities (Onna, Bazzano, Tempera-St. Biagio, Paganica). Sanitary access is recorded in the registers of medical triage, in the first 5 weeks, after the April 6, 2009. The prevalence of primary headache presentation was 5.53% (95% CI 4.2-7.1), secondary headache was 2.82% (95% CI 1.9-4.9). Pain intensity, assessed by Numerical Rating Scale score showed a mean value of 7 ± 1.1 (range 4-10). The drugs most used were the NSAIDs (46%) and paracetamol (36%), for impossibility of finding causal drugs. This study shows how more stressful events not only have an important role in determining acute exacerbation of chronic headache, but probably also play a pathogenic role in the emergence of primary headache. Also underlines the lack of diagnostic guidelines or operating protocols to early identify and treat headache in the emergency settings.
Language: en
LA - en SN - 1129-2369 UR - http://dx.doi.org/10.1007/s10194-011-0311-y ID - ref1 ER -