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Cluster Headache Severity:Study Identifies Factors (Read 1400 times)
Mike NZ
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Cluster Headache Severity:Study Identifies Factors
Oct 25th, 2017 at 9:40pm
 
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Another interesting article showing how some lifestyle factors are linked to CH. However it doesn't really comment around if the factor influences CH or if CH influences the factor.

Quote:
The highest cluster headache severity was found in patients who were older at disease onset, had fewer hours of sleep, consumed fewer alcoholic beverages, and used a larger amount of prophylactic medications.


The link between drinking less and CH being more severe is an interesting one. It is probably the opposite of what we'd expect given that CH is a strong trigger for so many. But they try to explain this with:

Quote:
“higher disease burden appears to be connected with lower alcohol intake…[and] is in line with earlier reports of cluster headache patients reducing their alcohol consumption during CH periods.”


The prophylactic link is most likely down to if you've severe CH then it is much more likely that you'll be using more prophylactic medications.

Quote:
Compared with non-tobacco users, patients who had a history of tobacco use or who were current tobacco users were slightly older when cluster headaches first appeared (28.5 vs 31.7).


Another interesting one. Does tobacco somehow make CH take hold slower, acting as a preventive? Or does CH make it more likely that you get CH, but it takes an accumulative effect from years of smoking to trigger it? Or something else?

Quote:
According to the investigators, patients experiencing cluster headaches with the most severe symptoms often have a greater need and desire to seek specialist help, which could have introduced selection bias into the study population.

I strongly suspect that this might have influenced things.
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Batch
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Re: Cluster Headache Severity:Study Identifies Factors
Reply #1 - Oct 26th, 2017 at 5:30am
 
Excellent analysis!
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Hoppy
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Re: Cluster Headache Severity:Study Identifies Factors
Reply #2 - Nov 4th, 2017 at 3:12am
 
Best take this survey with a pinch of salt!

Hoppy
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