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Open Access 01-12-2022 | Insomnia | Research article

Post-traumatic headache after mild traumatic brain injury in a one-year follow up study – risk factors and return to work

Authors: Yvonn Kraemer, Kaisa Mäki, Ivan Marinkovic, Taina Nybo, Harri Isokuortti, Antti Huovinen, Antti Korvenoja, Susanna Melkas, Hanna Harno

Published in: The Journal of Headache and Pain | Issue 1/2022

Abstract

Background

Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized.

Methods

This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records.

Results

At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW.

Conclusions

Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.

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Title: Post-traumatic headache after mild traumatic brain injury in a one-year follow up study – risk factors and return to work
Authors: Yvonn Kraemer
Kaisa Mäki
Ivan Marinkovic
Taina Nybo
Harri Isokuortti
Antti Huovinen
Antti Korvenoja
Susanna Melkas
Hanna Harno
Publication date: 01-12-2022
Publisher: Springer Milan
Keywords: Insomnia
Central Nervous System Trauma
Migraine
Traumatic Brain Injuries
Headache
Published in: The Journal of Headache and Pain / Issue 1/2022
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI: https://doi.org/10.1186/s10194-022-01398-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Post-traumatic headache after mild traumatic brain injury in a one-year follow up study – risk factors and return to work

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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