Perfil clínico-epidemiológico dos pacientes diagnosticados com cefaleias primárias atendidos no ambulatório de neurologia do Centro de Especialidades Médicas do CESUPA (CEMEC)

Abstract

Headache, as a disease, often generates uncertainties in the professionals involved in the consultations, due to the numerous forms of presentation regarding the clinical condition of patients. In this context, the importance of knowing homogeneous characteristics of the local population served, can provide the most agile and effective therapeutic conduct, contributing to the well-being of patients. The aim of this study was to present a clinical-epidemiological profile of patients seen at the Neurology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC), in the period from the first semester of 2017 to the first semester of 2019, diagnosed with different types of primary headaches, through the analysis of medical records. The study design prioritized the collection and analysis of data, established in the research protocol, in the referred location, referring to patients diagnosed with primary headaches: Migraine, Tensional and Trigeminal Autonomic. These results were tabulated and graphs were generated for a better perception of the general picture, the relative risk (odds ratio) was calculated to establish the chances of the sample population to develop the pathology associated with the most prevalent comorbidities. The results were based on 81 medical records of patients with diagnoses among primary headaches, which demonstrated that the majority presented tension headache, followed by migraine, in a larger population of women, between 19 and 60 years old, the main associated comorbidity was hypertension. systemic arterial (0.4: 1) followed by dyslipidemia / Diabetes Mellitus (0.25: 1), the most widely used prophylaxis was ibuprofen, however, most of the sample is untreated. The results of this work were presented in accordance with others already published, with regard to the epidemiological profile of the sample population, the understanding of the association between the types of primary headache and the associated comorbidities proved to be important for the understanding of the causal nexus of the most common etiologies associated with headache. Further research associating the correct diagnosis of headache with the treatment employed and associated diseases may provide better patient management and management.