Prevalencia de cefalea post punción de duramadre en pacientes del Hospital de Especialidades Teodoro Maldonado Carbo”, durante el período del 2020-2022.

Abstract

Background: Post-dural puncture headache (PDPH) is a common complication, occurring in up to 60% of cases, varying according to the physiological characteristics of the patient and the type of surgical procedure. Objective: To determine the prevalence of post-dural puncture headache in patients treated at a tertiary hospital. Methodology: A retrospective, cross-sectional, analytical study was conducted including 110 patients. Statistical analysis was performed using IBM SPSS Statistics v29, using measures of central tendency and dispersion for quantitative variables, and frequencies and percentages for qualitative variables. Risk assessment was carried out through logistic regression analysis, including Odds Ratio and Chi-square tests. Results: The prevalence of PDPH was 32.7%, with a mean age of 47.29 ± 11.05 years, and 50% were male. Risk factors such as obesity, smoking, history of headache, and male gender were associated with PDPH, with the absence of obesity being the most significant risk factor (OR=4.13, 95% CI: 1.5–11.5, P = 0.007). Conclusions: There is a high prevalence of PDPH in Latin American patients, with the absence of obesity being the main risk factor, highlighting the importance of considering these factors in its prevention and management.