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Rev Neurol (Paris). 2015 Nov;171(11):792-5. doi: 10.1016/j.neurol.2015.05.002. Epub 2015 Aug 28.

[Impact of headache among studied military population in Afghanistan deployed in the Kabul military field hospital].

[Article in French]

Author information

1
Service de neurologie HIA Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France. Electronic address: lss.guilloton@wanadoo.fr.
2
Service de neurologie HIA Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
3
Service de neurophysiologie du stress, institut de recherche biomédicale des armées, BP 73, 91223 Bretigny-sur-Orge cedex, France.
4
Service de neurologie, HIA Clermont-Tonnerre, rue du Colonel-Fonferrier, 29240 Brest cedex 9, France.
5
Service de neurologie, HIA Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris 5, France.

Abstract

INTRODUCTION:

Headaches are a common reason for consultation with a prevalence of 30%. Few data exist for military personnel, including in situations of war operations. The main objective of this work was to measure the evolution of the impact of headache in such a context.

MATERIALS AND METHODS:

Two hundred and one personnel deployed in the Kaïa military field hospital in Afghanistan were recruited. A questionnaire designed to recognize headaches, supported by two quality of life scales (MIDAS and HIT-6) and a stress questionnaire were filled out before departure and upon return from missions.

DISCUSSION:

Sixty-three patients with headache were initially identified, of whom 52 remained symptomatic during the mission. The average total score of MIDAS before departure was 4 days and fell to 1.4 days upon return, with a mean measured change of 3.3 days. For HIT-6, the mean total score was 51.2 points initially and 51.9 points at the end of the mission with a mean change of-0.3 points. Nine patients without headache initially became symptomatic: MIDAS and HIT-6 were not affected.

CONCLUSION:

Thus, the impact of headache in the particular context of presence in a theater of operations was low: improved MIDAS score and the lack of influence on the HIT-6 score are underlined.

KEYWORDS:

Afghanistan; Army; Armée; Céphalée; Headache; Migraine

PMID:
26318902
DOI:
10.1016/j.neurol.2015.05.002
[Indexed for MEDLINE]

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