Headache in Post-COVID-19 Patients: Its Characteristics and Relationship with the Quality of Life

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Endang Mutiawati, Hendrix Indra Kusuma, Marhami Fahriani, Harapan Harapan, Syahrul Syahrul, Nasrul Musadir

2022 Medicina (Lithuania) Vol. 58 Issue 10 Article Cited by 17 SDG 3SDG 17 Quartile

Abstract

Little is known on the characteristics of headaches associated with coronavirus disease 2019 (COVID-19) in Indonesia. The objective of this study was to describe the characteristics of headache in post-COVID-19 patients, and its impact on the patients’ quality of life (QoL), as well as to determine the associated determinants of the poor QoL. A cross-sectional study was conducted in Banda Aceh, Indonesia. The demographic characteristics, clinical symptoms of COVID-19, characteristics of headache, and the QoL were collected and assessed. Headache was diagnosed and characterized using the International Classification of Headache Disorders, version 3 (ICHD-3). QoL was assessed using a Short Form 36 Health Survey (SF-36) tool. A logistic regression model was used to investigate the associated determinants of poor QoL in post-COVID-19 patients. A total of 215 post-COVID-19 patients were included in the final analysis, and 21.4% (46/215) of them had a poor QoL due to headache following COVID-19. Those who were unemployed and who contracted COVID-19 less than three months prior to the study had higher odds of having poor QoL compared to those who were employed and who contracted COVID-19 more than three months prior to the study. Low QoL was also related to headache that occurred less than one month after recovering from COVID-19 (compared to that which occurred longer than one month after); had a high frequency; had a combination sensation of pulsating, pressing, fiery, and stabbing pain; had a high severity score; and had additional symptoms accompanying the headache. In conclusion, headache related to COVID-19 is associated with low QoL among post-COVID-19 patients. A guideline on prevention measures of headache on COVID-19 patients, therefore, needs to be established to avoid long-term consequences. © 2022 by the authors.

Affiliations

Department of Neurology, School of Medicine, Universitas Syiah Kuala, Aceh, Banda Aceh, 23111, Indonesia; Department of Neurology, Dr. Zainoel Abidin Hospital, Aceh, Banda Aceh, 23126, Indonesia; Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Aceh, Banda Aceh, 23111, Indonesia; Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Aceh, Banda Aceh, 23111, Indonesia; Faculty of Tarbiyah and Teacher Training, Universitas Islam Negeri Ar-Raniry, Aceh, Banda Aceh, 23111, Indonesia; Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Aceh, Banda Aceh, 23111, Indonesia; Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Aceh, Banda Aceh, 23111, Indonesia

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