Headache attributed to acute pyelonephritis
- Author:
Bong Soo Park
;
Si Hyung Park
;
Jin Han Park
;
Kang Min Park
- Publication Type:Journal Article
- Keywords:
Urinary tract infection;
acute pyelonephritis
- MeSH:
Pyelonephritis;
Headache
- From:Neurology Asia
2016;21(2):155-160
- CountryMalaysia
- Language:English
-
Abstract:
Objective: This study identified the incidence and risk factors for headache attributed to acute
pyelonephritis. Methods: The inclusion criteria were patients who were admitted with acute pyelonephritis
at our hospital and ≥ 18 years of age. The following exclusion criteria were used: 1) patients who
could not express their headache because of mental deterioration, 2) the presence of meningitis or
meningoencephalitis, or 3) structural lesions on brain computed tomography or magnetic resonance
images that could cause headache. The primary outcome was headache attributed to acute pyelonephritis
as a dependent variable. The differences were analyzed using demographic and laboratory profiles as
independent variables. Additionally, correlation analysis was performedbetweenseverity of headache
using VAS score and demographic and laboratory profiles including age, WBC, and CRP. Results:
A total of 479 patients met the inclusion criteria for this study, and 97 patients developed headache
attributed to acute pyelonephritis. Patients with headache were younger and more likely to be female,
and had a lower incidence of diabetes than those without headache. However, laboratory profiles that
reflected the severity of acute pyelonephritis were not predictive factors for headache. Multiple logistic
regression analysis demonstrated that young age and non-diabetes were independently significant
variables for the prediction of headache attributed to acute pyelonephritis. In addition, the VAS score
was found to be negative correlated with age, whereas it was not correlated with WBC and CRP.
Conclusions: We determined that headache attributed to acute pyelonephritis was relatively common,
and it was related to demographic characteristics but not acute pyelonephritis severity.
- Full text:P020160714366067543662.pdf
