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Prevalence and prognostic value of headache on early mortality in acute stroke: The Dijon Stroke Registry

Abadie, Victor et al.

Cephalalgia. Volume 34:Number 11 (2014, August 15th); pp 938-939 -- SAGE Publications

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  • Title:
    Prevalence and prognostic value of headache on early mortality in acute stroke: The Dijon Stroke Registry
  • Author: Abadie, Victor;
    Jacquin, Agnès;
    Daubail, Benoit;
    Vialatte, Anne‐Laure;
    Lainay, Claire;
    Durier, Jérôme;
    Osseby, Guy‐Victor;
    Giroud, Maurice;
    Béjot, Yannick
  • Found In: Cephalalgia. Volume 34:Number 11 (2014, August 15th); pp 938-939
  • Journal Title: Cephalalgia
  • Subjects: Headache--Periodicals; Epidemiology--headache--mortality--outcome--registry--stroke; Dewey: 616.8491
  • Rights: legaldeposit
  • Publication Details: SAGE Publications
  • Abstract: Objective:

    To evaluate the prevalence of headache at onset and its association with 1-month mortality in stroke patients.

    Methods:

    All patients with stroke in Dijon, France (2006–2011), were prospectively identified using a population-based registry. Cox regression models were used to evaluate the association between headache and 30-day all-cause mortality.

    Results:

    Among 1411 stroke patients, data about headache were obtained for 1391 (98.6%) of whom 1185 had an ischemic stroke (IS), 201 had an intracerebral hemorrhage (ICH) and five had a stroke of undetermined etiology. Headache was found in 253 (18.2%) patients and was more frequent in those with ICH than in those with IS (46.3% vs 13.5%, p  < 0.001). Overall 30-day mortality was 11.7%, and was greater for patients with than those without headache (17.0% vs 10.5%, unadjusted HR 1.70; 95% CI 1.20–2.41, p  = 0.003). In multivariable analysis, an association between headache and 30-day mortality was observed (HR 1.51; 95% CI 1.02–2.25, p  = 0.042). In stratified analyses, headache was associated with 30-day mortality in ICH (HR 2.09; 95% CI 1.18–3.71, p  = 0.011) but not in IS (HR 1.01; 95% CI 0.53–1.92, p  = 0.97).

    Conclusion:

    Headache at stroke onset is associated with a higher risk of early mortality in patients with ICH.


  • Identifier: System Number: LDEAvdc_100058026385.0x000001; Journal ISSN: 0333-1024; 10.1177/0333102414523340
  • Publication Date: 2014
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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