Ağrı Devlet Hastanesine başvuran migren hastalarının klinik ve sosyodemografik özellikleri

Tuba Cerrahoğlu Şirin

doi:10.19161/etd.390319

Araştırma Makalesi

Sociodemographic and clinical features of migraine patients admitted to Ağrı State Hospital

Yıl 2017, , 128 - 134, 01.09.2017

Tuba Cerrahoğlu Şirin

https://doi.org/10.19161/etd.390319

Cited By: 1

Öz

Aim: The purpose of this study is to evaluate the sociodemographic features and social disability of the migraine patients in Ağrı.

Materials and Methods: Demographic features, migraine features, Migraine Disability Assessment (MIDAS) scores and days with headache per month of the migraine patients who admitted to neurology outpatient clinic were retrospectively evaluated.

Results: There were 642 migraine patients (M/F: 1/5) diagnosed by ICHD-III criteria. Average age was 29.8 years (7-71 yrs). The education level was low (36% illiterate, 36% primary school) and housewives formed the majority of the patients (64%). The time period between beginning of the attacks and the diagnosis with migraine was 5.3 years on average; however, this period was significantly decreasing with higher education levels (p<0.01). The percentage of first degree relatives of the patients with migraine history was very high with 74%. 21.7% of the patients had migraine with aura, whereas %21.7 of the patients had chronic migraine. The most frequent trigger of migraine was emotional stress (30%). Severe disability was observed in 9.5% of the patients; 27% of the patients had moderate disability; %25.5 had mild disability and 38% had minor/no disability depending on MIDAS scores.

Conclusion: Diagnose interval was longer in migraine patients with lower education level. Chronic migraine rate was higher. Decreased awareness of migraine in patients with lower education level may be the most important cause of these results. Decreasing the rate of social disability due to headache at lower educated societies may be achieved through increasing awareness towards migraine.

Anahtar Kelimeler

Migraine, sociodemografic features, clinic features, Ağrı

Kaynakça

Andlin-Sobocki P, Jonsson B, Wittchen HU, Olesen J. Cost of disorders of the brain in Europe. Eur J Neurol 2005;12(Suppl 1):1-27.
Ertas M, Baykan B, Orhan EK et al. One year prevalence and the impact of migraine and tension-type headache in Turkey: A nationwide home-based study in adults. J Headache Pain 2012;13(2):147-57.
Özdemir G, Aygül R, Demir R, Özel L, Ertekin A, Ulvi H. Migraine prevalence, disability, and sociodemographic properties in the eastern region of Turkey: A population-based door-to-door survey. Turk J Med Sci 2014;44(4):624-9.
Börü UT, Kocer A, Lüleci A, Sur H, Tutkan H, Atli H. Prevalence and characteristics of migraine in women of reproductive age in Istanbul, Turkey: A population based survey. Tohoku J Exp Med 2005;206(1):51-9.
Stovner LJ, Andree C. Prevalence of headache in Europe: A review for the Eurolight project. J Headache Pain 2010;11(4):289–99.
Ertaş M, Siva A, Dalkara T, et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache 2004;44(8):786-93.
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd ed. (beta version). Cephalalgia 2013;33(9):629-808.
Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008;7(4):354-61.
Adams AM, Serrano D, Buse DC et al. The impact of chronic migraine: The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study methods and baseline results. Cephalalgia 2015;35(7):563-78.
Aygül R, Deniz O, Güzelcik M, Şahin A. Migrenli hastaların sosyodemografik özellikleri. Atatürk Üniversitesi Tıp Fakültesi Dergisi 2001;33:91-6.
Cakmak G, Yayla V, Muhan A, Gulersonmez M, Apak İ. Sociodemographic evaluation of patients with migraine. Brain and Vascular Diseases Magazine 1996;2(1):29-31.
Aygul R, Deniz O, Kocak N, Orhan A, Ulvi H. The clinical properties of a migraineuse population in Eastern Turkey-Erzurum. South Med J 2005;98(1):23-7.
MacGregor EA. Oestrogen and attacks of migraine with and without aura. Lancet Neurol 2004;3(6):354-61.
LiptonRB, Stewart WF, Diamond S, Diamond ML, Reed M. Prevalence and burden of migraine in the United States: Data from the American Migraine Study II. Headache 2001;41(7):646-57.
Molgaard CA, Rothrock J, Stang PE, Golbeck AL. Prevelence of migraine among Mexican Americans in San Diego, California. Headache 2002;42(9):878-82.
Baykan B, Ertas M, Karli N, et al. The burden of headache in neurology outpatient clinics in Turkey. Pain Pract 2007;7(4):313-23.
Koseoglu E, Nacar M, Talaslioglu A, Cetinkaya F. Epidemiological and clinical characteristics of migraine and tension type headache in 1146 females in Kayseri, Turkey. Cephalalgia 2003;23(5):381-8.
Bank J, Marton S. Hungarian migraine epidemiyology. Headache 2000;40(2):164-9.
Rasmussen BK, Olesen J: Migraine with aura and without aura: An epidemiological study. Cephalalgia 1992;12(4):221-8.
Mathew NT. Migraine. In: Evans RW, Mathew NT (ed). Handbook of Headache. 2nd ed. Philadelphia, USA: Lippincott Williams & Wilkins; 2005:28-88.
Russel MB, Iselius L, OlesenJ. Migraine without aura and migraine with aura are inherited disorders. Cephalalgia 1996;16(5):305-9.
Murtaza M, Kisat M, Daniel H, Sonawalla AB. Classification and clinical features of headache disorders in Pakistan: a retrospective review of clinical data. PLoS One 2009;4(6):5827.
Stewart WF, Bigal ME, Kolodner K, Dowson A, Liberman JN, Lipton RB. Familial risk of migraine: variation by proband age at onset and headache severity. Neurology. 2006;66(3):344-8.
Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia 2007;27(5):394-402.
Buse DC, Manack AN, Fanning KM, et al. Chronic migraine prevalence, disability and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study. Headache 2012;52(10) :1456-70.
Hagen K, Vatten L, Stovner LJ, Zwart JA, Krokstad S, Bovim G. Low socio-economic status is associated with increased risk of frequent headache: A prospective study of 22718 adults in Norway. Cephalalgia 2002; 22(8):672-79.
Manack A, Buse DC, Lipton RB. Chronic migraine: Epidemiology and disease burden. Curr Pain Headache Rep 2011;15(1):70-8.
Türkiye İstatistik Kurumu Haber Bülteni. İllerde yaşam indeksi, 2015 (updated 22 Jan 2016; cited: 20 Jun 2016). Available from: http://www.tuik.gov.tr.

Ağrı Devlet Hastanesine başvuran migren hastalarının klinik ve sosyodemografik özellikleri

Yıl 2017, , 128 - 134, 01.09.2017

Tuba Cerrahoğlu Şirin

https://doi.org/10.19161/etd.390319

Cited By: 1

Öz

Amaç: Migren, atak sırasındaki olumsuz etkilerinin yanı sıra okul ve iş performansında bozulmaya neden olarak sosyal açıdan kronik etkileri olan bir hastalıktır. Bu çalışmada, Ağrı ilinde migren tanısı alan ve takip edilen olguların sosyodemografik özellikleri ve sosyal yaşamdaki kısıtlılık düzeylerinin araştırılması amaçlandı.

Gereç ve Yöntem: Nöroloji polikliniğine başvuran migren hastalarının dosyalarında demografik özellikleri, migren özellikleri, MIDAS skoru ve aylık baş ağrılı gün sayısı retrospektif olarak incelendi.

Bulgular: ICHD-3 kriterlerine göre migren tanısı alan 642 hasta (E/K:1/5) bulunmaktaydı. Yaş ortalaması 29.8 yıldı (7-71 yaş). Hasta popülasyonunda eğitim seviyesi düşükken (%36 okuryazar değil, %36 ilköğretim mezunu), çoğunluğunu ev hanımları oluşturmaktaydı (%64). Baş ağrısı atakları başlangıcından migren tanısı alana kadar geçen süre ortalama 5.3 yıldı; bununla beraber, eğitim seviyesi arttıkça tanı alma zamanı anlamlı derecede kısalıyordu (p<0.01). Birinci derece akrabalarında migren öyküsü oldukça yüksekti (%74). Hastaların %21.7’inde auralı migren ve %21.8’inde kronik migren vardı. Migren tetikleyicisi olarak en sık emosyonel stres (%30) belirtildi. Migren Disabilite Değerlendirme (MIDAS) skorlarına göre şiddetli kayıp %9.5 iken, orta derece kayıp %27, ılımlı kayıp %25.5 ve kayıp yok/hafif kayıp %38 idi.

Sonuç: Eğitim süresi kısaldıkça migren hastalarında tanı alma süresi uzamaktadır. Kronik migren oranı yüksektir. Eğitim seviyesi düştükçe migren farkındalığının azalması bunun önemli bir etkeni olabilir. Eğitim seviyesi düşük toplumlarda hastalık farkındalığının arttırılması ile baş ağrısı nedenli sosyal yaşamdaki kısıtlılığın azalması sağlanabilir.

Anahtar Kelimeler

Migren, sosyodemografik özellikler, klinik özellikler, Ağrı

Kaynakça

Andlin-Sobocki P, Jonsson B, Wittchen HU, Olesen J. Cost of disorders of the brain in Europe. Eur J Neurol 2005;12(Suppl 1):1-27.
Ertas M, Baykan B, Orhan EK et al. One year prevalence and the impact of migraine and tension-type headache in Turkey: A nationwide home-based study in adults. J Headache Pain 2012;13(2):147-57.
Özdemir G, Aygül R, Demir R, Özel L, Ertekin A, Ulvi H. Migraine prevalence, disability, and sociodemographic properties in the eastern region of Turkey: A population-based door-to-door survey. Turk J Med Sci 2014;44(4):624-9.
Börü UT, Kocer A, Lüleci A, Sur H, Tutkan H, Atli H. Prevalence and characteristics of migraine in women of reproductive age in Istanbul, Turkey: A population based survey. Tohoku J Exp Med 2005;206(1):51-9.
Stovner LJ, Andree C. Prevalence of headache in Europe: A review for the Eurolight project. J Headache Pain 2010;11(4):289–99.
Ertaş M, Siva A, Dalkara T, et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache 2004;44(8):786-93.
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd ed. (beta version). Cephalalgia 2013;33(9):629-808.
Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008;7(4):354-61.
Adams AM, Serrano D, Buse DC et al. The impact of chronic migraine: The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study methods and baseline results. Cephalalgia 2015;35(7):563-78.
Aygül R, Deniz O, Güzelcik M, Şahin A. Migrenli hastaların sosyodemografik özellikleri. Atatürk Üniversitesi Tıp Fakültesi Dergisi 2001;33:91-6.
Cakmak G, Yayla V, Muhan A, Gulersonmez M, Apak İ. Sociodemographic evaluation of patients with migraine. Brain and Vascular Diseases Magazine 1996;2(1):29-31.
Aygul R, Deniz O, Kocak N, Orhan A, Ulvi H. The clinical properties of a migraineuse population in Eastern Turkey-Erzurum. South Med J 2005;98(1):23-7.
MacGregor EA. Oestrogen and attacks of migraine with and without aura. Lancet Neurol 2004;3(6):354-61.
LiptonRB, Stewart WF, Diamond S, Diamond ML, Reed M. Prevalence and burden of migraine in the United States: Data from the American Migraine Study II. Headache 2001;41(7):646-57.
Molgaard CA, Rothrock J, Stang PE, Golbeck AL. Prevelence of migraine among Mexican Americans in San Diego, California. Headache 2002;42(9):878-82.
Baykan B, Ertas M, Karli N, et al. The burden of headache in neurology outpatient clinics in Turkey. Pain Pract 2007;7(4):313-23.
Koseoglu E, Nacar M, Talaslioglu A, Cetinkaya F. Epidemiological and clinical characteristics of migraine and tension type headache in 1146 females in Kayseri, Turkey. Cephalalgia 2003;23(5):381-8.
Bank J, Marton S. Hungarian migraine epidemiyology. Headache 2000;40(2):164-9.
Rasmussen BK, Olesen J: Migraine with aura and without aura: An epidemiological study. Cephalalgia 1992;12(4):221-8.
Mathew NT. Migraine. In: Evans RW, Mathew NT (ed). Handbook of Headache. 2nd ed. Philadelphia, USA: Lippincott Williams & Wilkins; 2005:28-88.
Russel MB, Iselius L, OlesenJ. Migraine without aura and migraine with aura are inherited disorders. Cephalalgia 1996;16(5):305-9.
Murtaza M, Kisat M, Daniel H, Sonawalla AB. Classification and clinical features of headache disorders in Pakistan: a retrospective review of clinical data. PLoS One 2009;4(6):5827.
Stewart WF, Bigal ME, Kolodner K, Dowson A, Liberman JN, Lipton RB. Familial risk of migraine: variation by proband age at onset and headache severity. Neurology. 2006;66(3):344-8.
Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia 2007;27(5):394-402.
Buse DC, Manack AN, Fanning KM, et al. Chronic migraine prevalence, disability and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study. Headache 2012;52(10) :1456-70.
Hagen K, Vatten L, Stovner LJ, Zwart JA, Krokstad S, Bovim G. Low socio-economic status is associated with increased risk of frequent headache: A prospective study of 22718 adults in Norway. Cephalalgia 2002; 22(8):672-79.
Manack A, Buse DC, Lipton RB. Chronic migraine: Epidemiology and disease burden. Curr Pain Headache Rep 2011;15(1):70-8.
Türkiye İstatistik Kurumu Haber Bülteni. İllerde yaşam indeksi, 2015 (updated 22 Jan 2016; cited: 20 Jun 2016). Available from: http://www.tuik.gov.tr.

Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Konular	Sağlık Kurumları Yönetimi
Bölüm	Araştırma Makaleleri
Yazarlar	Tuba Cerrahoğlu Şirin 0000-0003-4412-8105
Yayımlanma Tarihi	1 Eylül 2017
Gönderilme Tarihi	27 Haziran 2016
Yayımlandığı Sayı	Yıl 2017

Kaynak Göster

Vancouver	Cerrahoğlu Şirin T. Ağrı Devlet Hastanesine başvuran migren hastalarının klinik ve sosyodemografik özellikleri. ETD. 2017;56(3):128-34.