The Prevalence and Severity of Headaches in Hemodialysis Children: A Comparative Study | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 175, Volume 89, Issue 1, October 2022, Page 5258-5265 PDF (506.94 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2022.262205 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Eman Abobakr Abd Alazem ; Rasha E E Galal; Mona M.R. Hammady; Ahmed Selim
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| Department of Pediatrics, Pediatric Nephrology and Transplantation Units, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: One of the symptoms of chronic kidney disease (CKD), especially in individuals receiving regular hemodialysis (HD), is headache. Objective: This study aims to describe the prevalence, characteristics, and consequences of headaches on children with CKD's quality of life as assessed by the Headache Impact Test-6 (HIT-6) score. Methods: The CKD group (n = 50) and the HD group (n = 50) were included in this cross-sectional comparative analysis. The prevalence, characteristics, frequency, and severity of headaches were compared between the two patient groups. Results: The prevalence and frequency of headache were significantly higher in the HD group than in the CKD group with p-values: <0.001, 0.003 respectively. Patients with headache had significantly lower GFR and serum sodium (p-values: 0.002, 0.006) but higher serum phosphate and PTH (p-values: 0.035, 0.005) than those without headache. In HD patients, The HIT-6 score was found to have a statistically significant positive correlation with serum magnesium (p = 0.012, r = 0.412) and a statistically significant negative correlation with serum sodium (p = 0.006, r: -0.474). Conclusions: Headaches are more prevalent and more frequent in CKD children on HD than in those on conservative treatment. In HD patients, lower serum sodium and higher serum magnesium increase the headache severity based on the HIT-6 score. | ||||
| Keywords | ||||
| Chronic Kidney Disease; Hemodialysis; Headache | ||||
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