Author
Listed:
- Chung-Yi Liao
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Chun-Cheng Li
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Hsin-Yi Liu
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Jui-Tai Chen
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Yih-Giun Cherng
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Tzeng-Ji Chen
(Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan)
- Ying-Xiu Dai
(School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
Department of Dermatology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)
- Hsiang-Ling Wu
(School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
Department of Anesthesiology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)
- Wan-Chi Liu
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
- Ying-Hsuan Tai
(Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)
Abstract
Migraine headaches can be provoked by surgical stress and vasoactive effects of anesthetics of general anesthesia in the perioperative period. However, it is unclear whether general anesthesia increases the migraine risk after major surgery. Incidence and risk factors of postoperative migraine are also largely unknown. We utilized reimbursement claims data of Taiwan’s National Health Insurance and performed propensity score matching analyses to compare the risk of postoperative migraine in patients without migraine initially who underwent general or neuraxial anesthesia. Multivariable logistic regressions were applied to calculate the adjusted odds ratio (aOR) and 95% confidence interval (CI) for migraine risk. A total of 68,131 matched pairs were analyzed. The overall incidence of migraine was 9.82 per 1000 person-years. General anesthesia was not associated with a greater risk of migraine compared with neuraxial anesthesia (aORs: 0.93, 95% CI: 0.80–1.09). This finding was consistent across subgroups of different migraine subtypes, uses of migraine medications, and varying postoperative periods. Influential factors for postoperative migraine were age (aOR: 0.99), sex (male vs. female, aOR: 0.50), pre-existing anxiety disorder (aOR: 2.43) or depressive disorder (aOR: 2.29), concurrent uses of systemic corticosteroids (aOR: 1.45), ephedrine (aOR: 1.45), and theophylline (aOR: 1.40), and number of emergency room visits before surgery. There was no difference in the risk of postoperative migraine between surgical patients undergoing general and neuraxial anesthesia. This study identified the risk factors for postoperative migraine headaches, which may provide an implication in facilitating early diagnoses and treatment.
Suggested Citation
Chung-Yi Liao & Chun-Cheng Li & Hsin-Yi Liu & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsiang-Ling Wu & Wan-Chi Liu & Ying-Hsuan Tai, 2021.
"Migraine Headaches after Major Surgery with General or Neuraxial Anesthesia: A Nationwide Propensity-Score Matched Study,"
IJERPH, MDPI, vol. 19(1), pages 1-12, December.
Handle:
RePEc:gam:jijerp:v:19:y:2021:i:1:p:362-:d:714258
Download full text from publisher
References listed on IDEAS
- Yu-Ming Wu & Hsien-Cheng Kuo & Chun-Cheng Li & Hsiang-Ling Wu & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsin-Yi Liu & Ying-Hsuan Tai, 2020.
"Preexisting Dementia Is Associated with Increased Risks of Mortality and Morbidity Following Major Surgery: A Nationwide Propensity Score Matching Study,"
IJERPH, MDPI, vol. 17(22), pages 1-12, November.
- Yu-Hsiang Chung & Hsien-Cheng Kuo & Hsin-Yi Liu & Mei-Yi Wu & Wei-Jen Chang & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsiang-Ling Wu & Wan-Chi Liu & Ying-Hsuan Tai, 2021.
"Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease: A Nationwide Matched Cohort Study,"
IJERPH, MDPI, vol. 18(17), pages 1-13, August.
Full references (including those not matched with items on IDEAS)
Most related items
These are the items that most often cite the same works as this one and are cited by the same works as this one.
- Sorana Florica Baciu & Anca-Ștefania Mesaroș & Ina Maria Kacso, 2023.
"Chronic Kidney Disease and Periodontitis Interplay—A Narrative Review,"
IJERPH, MDPI, vol. 20(2), pages 1-18, January.
- Yu-Hsiang Chung & Hsien-Cheng Kuo & Hsin-Yi Liu & Mei-Yi Wu & Wei-Jen Chang & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsiang-Ling Wu & Wan-Chi Liu & Ying-Hsuan Tai, 2021.
"Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease: A Nationwide Matched Cohort Study,"
IJERPH, MDPI, vol. 18(17), pages 1-13, August.
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:362-:d:714258. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.