Incidence and prevalence of headache in influenza: A 2010–2021 surveillance‐based study.

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Title: Incidence and prevalence of headache in influenza: A 2010–2021 surveillance‐based study.
Authors: García‐Azorín, David (AUTHOR), Santana‐López, Laura (AUTHOR), Ordax‐Díez, Ana (AUTHOR), Lozano‐Alonso, José Eugenio (AUTHOR), Macias Saint‐Gerons, Diego (AUTHOR), González‐Osorio, Yésica (AUTHOR), Rojo‐Rello, Silvia (AUTHOR), Eiros, José M (AUTHOR), Sánchez‐Martínez, Javier (AUTHOR), Sierra‐Mencía, Álvaro (AUTHOR), Recio‐García, Andrea (AUTHOR), Guerrero‐Peral, Ángel Luis (AUTHOR), Sanz‐Muñoz, Ivan (AUTHOR)
Source: European Journal of Neurology. Aug2024, Vol. 31 Issue 8, p1-10. 10p.
Subjects: European Commission, Influenza, Headache, Virus diseases, Vaccination status, Respiratory infections
Abstract: Background and purpose: Influenza is a common cause of acute respiratory infection, with headache being one of the symptoms included in the European Commission case definition. The prevalence of headache as a symptom of influenza remains unknown. We aimed to describe the incidence and prevalence of headache in patients with influenza. Methods: All consecutive patients who met the definition criteria of influenza‐like illness during the influenza seasons 2010–2011 through 2021–2022 were included. The seasonal cumulative incidence of influenza per 1000 patients at risk and the prevalence of headache as an influenza symptom were calculated, including the 95% confidence intervals (CIs). Subgroup analyses were done based on patients' sex, age group, microbiological confirmation, vaccination status, and influenza type/subtype/lineage. Results: During the study period, 8171 patients were eligible. The incidence of headache in the context of influenza varied between 0.24 cases per 1000 patients (season 2020–2021) and 21.69 cases per 1000 patients (season 2017–2018). The prevalence of headache was 66.1% (95% CI = 65.1%–67.1%), varying between 49.6% (season 2021–2022) and 80.1% (season 2010–2011). The prevalence of headache was higher in women (67.9% vs. 65.7%, p = 0.03) and higher in patients between 15 and 65 years old. Headache was more prevalent in patients infected with B subtypes than A subtypes (68.7% vs. 56.9%, p < 0.001). There were no notable differences regarding vaccination status or microbiological confirmation of the infection. Conclusions: Headache is a common symptom in patients with influenza, with a prevalence higher than that observed in other viral infections. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Incidence and prevalence of headache in influenza: A 2010–2021 surveillance‐based study.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Garc&#237;a‐Azor&#237;n%2C+David%22&quot;&gt;Garc&#237;a‐Azor&#237;n, David&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Santana‐L&#243;pez%2C+Laura%22&quot;&gt;Santana‐L&#243;pez, Laura&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ordax‐D&#237;ez%2C+Ana%22&quot;&gt;Ordax‐D&#237;ez, Ana&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lozano‐Alonso%2C+Jos&#233;+Eugenio%22&quot;&gt;Lozano‐Alonso, Jos&#233; Eugenio&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Macias&#160;Saint‐Gerons%2C+Diego%22&quot;&gt;Macias&#160;Saint‐Gerons, Diego&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gonz&#225;lez‐Osorio%2C+Y&#233;sica%22&quot;&gt;Gonz&#225;lez‐Osorio, Y&#233;sica&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rojo‐Rello%2C+Silvia%22&quot;&gt;Rojo‐Rello, Silvia&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Eiros%2C+Jos&#233;+M%22&quot;&gt;Eiros, Jos&#233; M&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22S&#225;nchez‐Mart&#237;nez%2C+Javier%22&quot;&gt;S&#225;nchez‐Mart&#237;nez, Javier&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sierra‐Menc&#237;a%2C+&#193;lvaro%22&quot;&gt;Sierra‐Menc&#237;a, &#193;lvaro&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Recio‐Garc&#237;a%2C+Andrea%22&quot;&gt;Recio‐Garc&#237;a, Andrea&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Guerrero‐Peral%2C+&#193;ngel+Luis%22&quot;&gt;Guerrero‐Peral, &#193;ngel Luis&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sanz‐Mu&#241;oz%2C+Ivan%22&quot;&gt;Sanz‐Mu&#241;oz, Ivan&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22European+Journal+of+Neurology%22&quot;&gt;European Journal of Neurology&lt;/searchLink&gt;. Aug2024, Vol. 31 Issue 8, p1-10. 10p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22European+Commission%22&quot;&gt;European Commission&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Influenza%22&quot;&gt;Influenza&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Headache%22&quot;&gt;Headache&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Virus+diseases%22&quot;&gt;Virus diseases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Vaccination+status%22&quot;&gt;Vaccination status&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Respiratory+infections%22&quot;&gt;Respiratory infections&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and purpose: Influenza is a common cause of acute respiratory infection, with headache being one of the symptoms included in the European Commission case definition. The prevalence of headache as a symptom of influenza remains unknown. We aimed to describe the incidence and prevalence of headache in patients with influenza. Methods: All consecutive patients who met the definition criteria of influenza‐like illness during the influenza seasons 2010–2011 through 2021–2022 were included. The seasonal cumulative incidence of influenza per 1000 patients at risk and the prevalence of headache as an influenza symptom were calculated, including the 95% confidence intervals (CIs). Subgroup analyses were done based on patients&#39; sex, age group, microbiological confirmation, vaccination status, and influenza type/subtype/lineage. Results: During the study period, 8171 patients were eligible. The incidence of headache in the context of influenza varied between 0.24 cases per 1000 patients (season 2020–2021) and 21.69 cases per 1000 patients (season 2017–2018). The prevalence of headache was 66.1% (95% CI = 65.1%–67.1%), varying between 49.6% (season 2021–2022) and 80.1% (season 2010–2011). The prevalence of headache was higher in women (67.9% vs. 65.7%, p = 0.03) and higher in patients between 15 and 65 years old. Headache was more prevalent in patients infected with B subtypes than A subtypes (68.7% vs. 56.9%, p &lt; 0.001). There were no notable differences regarding vaccination status or microbiological confirmation of the infection. Conclusions: Headache is a common symptom in patients with influenza, with a prevalence higher than that observed in other viral infections. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/ene.16349
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      – Code: eng
        Text: English
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        PageCount: 10
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    Subjects:
      – SubjectFull: European Commission
        Type: general
      – SubjectFull: Influenza
        Type: general
      – SubjectFull: Headache
        Type: general
      – SubjectFull: Virus diseases
        Type: general
      – SubjectFull: Vaccination status
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      – SubjectFull: Respiratory infections
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      – TitleFull: Incidence and prevalence of headache in influenza: A 2010–2021 surveillance‐based study.
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              M: 08
              Text: Aug2024
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