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Perioperative headache and day case surgery.

P S Gill·C Guest·P G Rabey·D J Buggy
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Abstract

BACKGROUND AND OBJECTIVE: Headache is a common and distressing morbidity associated with day case surgery. We undertook a prospective, observational study to identify risk factors associated with perioperative headache in a modern, day case surgery setting. METHODS: Two hundred-and-thirty consecutive patients presenting for day case surgery were invited to complete a questionnaire about their previous experience of headache and various associated risk factors. Questionnaires were completed by 90% of patients. The presence of headache in the pre- or postoperative period was also documented. We used multivariate logistic regression to model perioperative headache. RESULTS: Increased frequency of previous headache, odds ratio (95% confidence interval) 1.9 (1.2-2.8) (P = 0.004) and low alcohol consumption 0.90 (0.87-0.98) (P = 0.019) were significant predictors. A history of migraine showed a trend towards being predictive 1.9 (0.9-4.0) (P = 0.055). Some risk factors thought to be important such as caffeine withdrawal and duration of starvation and fluid deprivation were not associated with perioperative headache in this setting. CONCLUSIONS: In this study of risk factors associated with perioperative headache in day case surgery, increased frequency of headache and low alcohol consumption were independent risk factors.

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AdultAlcohol DrinkingAmbulatory Surgical ProceduresCaffeineFemaleHeadacheHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsProspective StudiesRisk FactorsSurveys and QuestionnairesJournal Article

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P S Gill, C Guest, P G Rabey, D J Buggy. 2003. Perioperative headache and day case surgery.. https://doi.org/10.1017/s0265021503000619

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