Dataset Information

Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients.

ABSTRACT:

Background

The incidence of post-dural puncture headache (PDPH) arising from spinal anesthesia in the general population is low. However, patients under 45 years have been shown to exhibit a higher incidence of PDPH, even with small needles.

Questions/purposes

This study aimed to estimate the incidence of PDPH from a 27G pencil-point needle in ambulatory surgery patients between the ages of 15-45 years and compare incidence of PDPH by age group, sex, and history of headache.

Methods

In this prospective cohort study, 300 patients (15-45 years old) who underwent simple knee arthroscopy under spinal anesthesia with a 27G pencil-point needle were enrolled. Verbal consent was obtained during the initial phone conversation between post-operative days (PODs) 2-5. A PDPH questionnaire was administered during this conversation and between PODs 7-10. Patients who reported a positional headache were contacted by a physician co-investigator, who determined PDPH diagnosis.

Results

Five patients were excluded from analysis due to complicated operative procedures or spinal needle size. The overall PDPH incidence was 2.0% (95% CI 0.9-4.4; 6/295). PDPH incidence in 15-19-year-old patients was 16.7% (95% CI 4.7-44.8; 2/12). The crude relative risk of PDPH was 15.4 (95% CI 2.8-114.4) for patients with and without history of headache and 2.5 (95% CI 0.5-14.8) for females vs. males. Overall, 16.3% (95% CI 12.5-20.9) of patients reported post-operative, non-positional headaches.

Conclusions

There was a low overall incidence of PDPH among patients aged 15-45. Pre-planned subgroup analyses of PDPH incidence by age group revealed a high risk of PDPH among a small sample of 15-19-year-olds.

SUBMITTER: DelPizzo K

PROVIDER: S-EPMC5481263 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients.

DelPizzo Kathryn K Cheng Jennifer J Dong Naomi N Edmonds Chris R CR Kahn Richard L RL Fields Kara G KG Curren Jodie J Rotundo Valeria V Zayas Victor M VM

HSS journal : the musculoskeletal journal of Hospital for Special Surgery 20170316 2

<h4>Background</h4>The incidence of post-dural puncture headache (PDPH) arising from spinal anesthesia in the general population is low. However, patients under 45 years have been shown to exhibit a higher incidence of PDPH, even with small needles.<h4>Questions/purposes</h4>This study aimed to estimate the incidence of PDPH from a 27G pencil-point needle in ambulatory surgery patients between the ages of 15-45 years and compare incidence of PDPH by age group, sex, and history of headache.<h4>Me ...[more]

PMID: 28690464

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Dataset Information

Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients.

Background

Questions/purposes

Methods

Results

Conclusions

Publications

Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients.

Similar Datasets

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