Dados do Trabalho

Título

OVERVIEW OF HOSPITALIZATIONS DUE TO HEADACHE IN BRAZIL FROM 2016 TO 2022

Resumo

Introduction: Headache is a common cause of medical consultation, not only in primary care but also in specialist neurology outpatient clinics. Despite most of Covid-19 symptoms being respiratory, there was an increase in symptoms in the central and peripheral nervous system, including anosmia, ageusia and headache, possibly via direct viral injury, immunological mechanisms and the angiotensin-converting enzyme 2 (ACE2) receptor, and hypoxia. It is estimated that with the COVID-19 pandemic there has been a five-fold increase in the incidence of headache in the affected regions. There has also been described a possible new daily persistent headache in the aftermath of COVID-19. Therefore, it is fundamental to look at the epidemiological profile of the most affected groups. Methods: This consists of an ecological and descriptive study of the hospitalizations in Brazil, according to age and gender, from January 2016 to April 2022, for which data collection was obtained via the Health Information (TAB- NET) and the SUS Hospital Information System (SIH / SUS). Results: During the past 7 years in Brazil there were 61.324 admissions for headache, while the region with the highest prevalence was the Southeast, with a total of 18.910 cases (30,84%), and subsequently the Northeastern region, in which there were 18.346 cases (29,91%). The region with the lower incidence was the Central-West, with only 3.138 cases (5,11%). The age group with most cases was from 20 to 49 years, with the highest number of cases from 30 to 39 years, in both genders (11.457 cases, of which 7.910 were female). There was a predominance of females, representing 40.073 cases (65,35%). From 2016 to 2021, there was an increase of 4,64% in the number of hospitalizations, with a progressive increase until 2019, the year with the highest incidence. Conclusion: Hence, women from 20-39 were the most affected, and the region with most hospitalizations was Southeast. In this case, it is fundamental to focus on the availability of headache treatments especially in primary care, while also making policies and approaches with individualized multidisciplinary planning, psychological resources and universalization of the access to such treatments. It is also important to make further studies to assess the real incidence of such cases, even before the need of hospitalization.

Palavras Chave

Headache; Epidemiology; Neurology; Hospitalizations

Área

Cefaleia