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Journals / Gülhane Tıp Dergisi / 2016 / Cilt: 58 - Sayı: 3

Impact of considering occipital nerve blockade in differential diagnosis of headache on cost and workday loss

Baş Ağrısının Ayırıcı Tanısında Oksipital Sinir Bloğunu Düşünmenin Maliyet ve İş Gücü Kaybı Üzerine Etkisi

Hakan ŞİMŞEK
Ömer SAĞLAM
Emre ZORLU
Güner SÖNMEZ
Mustafa Tansel KENDİRLİ
BÜLENT DÜZ
Pages
306–314
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

GON blocks both as diagnostic and therapeutic intervention provided a cost-effective working diagnosis of CHA and ON

📌 3 Key Takeaways

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Objective & Hypothesis:An unreasonable amount of tests and excessive hospital visits and workday loss is a matter of dispute in failed headache cases.
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Key Findings & Data:Current study was designed (retrospective case control study) to estimate the burden of headache on society and investigate the efficacy of great occipital nerve block in providing a costeffective working diagnosis. 64 patients among 136 outpatients presenting with headache were enrolled in the study.
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Conclusion & Impact:GON blocks both as diagnostic and therapeutic intervention provided a cost-effective working diagnosis of CHA and ON
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

An unreasonable amount of tests and excessive hospital visits and workday loss is a matter of dispute in failed headache cases. Current study was designed (retrospective case control study) to estimate the burden of headache on society and investigate the efficacy of great occipital nerve block in providing a costeffective working diagnosis. 64 patients among 136 outpatients presenting with headache were enrolled in the study. For 30 of 64 patients (group A), it was the first time that they were being evaluated for headache. However, 34 of 64 patients (group B) were previously evaluated at various clinics with numerous tests. All patients answered a questionnaire, and subsequently occipital nerve blockade was performed. Visual analog scale was used to measure the efficacy of the procedure. Mean workday loss was 33.4 ± 21.3 days (min 10, max 90 days) in Group B and 5.6 ± 1.8 days (min 1, max 10 days) in Group A. Patients in the group A had the diagnosis of ON or CHA with the use of least number of tests and cost. GON blocks both as diagnostic and therapeutic intervention provided a cost-effective working diagnosis of CHA and ON

Özet

Tedavide başarı elde edilememiş baş ağrısı olgularında makul olmayan miktarda testler, hastane ziyaretleri ve iş gücü kaybı tartışma konusudur. Mevcut çalışma (geçmişe dönük vaka kontrol çalışması), baş ağrısının topluma maliyetinin tahmin edilmesi ve büyük oksipital sinirin bloke edilmesinin işe yarayan düşük maliyetli tanı koymada etkinliğini araştırmak için tasarlandı. Baş ağrısı ile müracaat eden 136 hastanın 64'ü çalışmaya dahil edildi. 64 hastanin 30'u baş ağrısı nedeniyle ilk defa değerlendirilmekteydi (grup A). Ancak kalan 34 kişi ise değişik kliniklerde çok sayıda tetkik ile değerlendirilmişlerdi(grup B). Tüm hastalara anket uygulandı ve arkasından oksipital sinir bloğu yapıldı. İşlemin başarını değerlendirmek için görsel analog ölçüt kullanıldı. Grup B'de ortalama iş gücü kaybı 33.4 ± 21.3 gün (10-90 gün), grup A'da ise 5.6 ± 1.8 gün (1-10 gün) olarak saptandı. Grup A'daki hastalara en az tetkik ve maliyetle oksipital nevralji ve boyun kökenli baş ağrısı tanısı kondu. Büyük oksipital sinirin bloğu, oksipital nevralji ve boyun kökenli baş ağrısında en düşük maliyetle hem tanıda işe yarayan hem de tedavi eden yöntem olarak ortaya kondu

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Cite This Article

ŞİMŞEK, H., SAĞLAM, Ö., ZORLU, E., SÖNMEZ, G., KENDİRLİ, M. T., DÜZ, B. (2016). Impact of considering occipital nerve blockade in differential diagnosis of headache on cost and workday loss. Gülhane Tıp Dergisi, Cilt: 58 - Sayı: 3, 306–314. https://ajindex.com/articles/225266

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