Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study
Background: The use of spinal anesthesia in patients undergoing cesarean section (CS) is at risk of experiencing post-dural puncture headache (PDPH). This is influenced by several factors. Objective: This study aimed to assess the effect of risk factors on the occurrence of PDPH in patients undergo...
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| Format: | Article |
| Language: | English |
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Fakultas Kedokteran, Universitas Diponegoro
2024-03-01
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| Series: | JAI (Jurnal Anestesiologi Indonesia) |
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| Online Access: | https://ejournal.undip.ac.id/index.php/janesti/article/view/61657 |
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| author | Widya Istanto Nurcahyo Johan Arifin Doso Sutiyono Bondan Irtani Cahyadi Dina Paramita Taufik Eko Nugroho Chandra Hermawan Manapa Indra Kusuma |
| author_facet | Widya Istanto Nurcahyo Johan Arifin Doso Sutiyono Bondan Irtani Cahyadi Dina Paramita Taufik Eko Nugroho Chandra Hermawan Manapa Indra Kusuma |
| author_sort | Widya Istanto Nurcahyo |
| collection | DOAJ |
| description | Background: The use of spinal anesthesia in patients undergoing cesarean section (CS) is at risk of experiencing post-dural puncture headache (PDPH). This is influenced by several factors.
Objective: This study aimed to assess the effect of risk factors on the occurrence of PDPH in patients undergoing CS under spinal anesthesia.
Methods: The study design is a nested case-control study with independent variables influencing the incidence of PDPH in CS with spinal anesthesia. Samples were taken from CS patients with spinal anesthesia at the Central Surgical Installation of Dr. Kariadi General Hospital, who met the inclusion and exclusion criteria.
Result: A total of 74 patients were included in the multivariate analysis, which showed that neurological disorders with p-value = 0.069; OR= 9,306; 95% CI = 0.842-102.828 and the number of punctures with p = 0.060; OR= 4.798; 95% CI = 0.997-23.075 is the most significant risk factor for the incidence of PDPH in CS patients. There was an additive effect which indicated that mobilization of more than 6 hours mutually reinforces the occurrence of PDPH in CS patients.
Conclusion: Preoperative risk factors such as a history of neurological disorders increase the incidence of PDPH in CS patients. Intraoperative risk factors in this study were total puncture and needle size, increasing the incidence of PDPH in CS patients. Post-operative risk factors, in this case, immobilization, increase the incidence of PDPH in CS patients. Preoperative, intraoperative, and post-operative risk factors, together or separately, increase the incidence of PDPH in patients undergoing CS. |
| format | Article |
| id | doaj-art-ace479e255984fe9bfef574bb66dc46e |
| institution | OA Journals |
| issn | 2337-5124 2089-970X |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Fakultas Kedokteran, Universitas Diponegoro |
| record_format | Article |
| series | JAI (Jurnal Anestesiologi Indonesia) |
| spelling | doaj-art-ace479e255984fe9bfef574bb66dc46e2025-08-20T02:38:06ZengFakultas Kedokteran, Universitas DiponegoroJAI (Jurnal Anestesiologi Indonesia)2337-51242089-970X2024-03-01161142510.14710/jai.v0i0.6165723726Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis StudyWidya Istanto Nurcahyo0https://orcid.org/0000-0003-0550-5625Johan Arifin1Doso Sutiyono2Bondan Irtani Cahyadi3Dina Paramita4Taufik Eko Nugroho5Chandra Hermawan Manapa6Indra Kusuma7Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, IndonesiaFaculty of Medicine, Diponegoro University, Semarang, IndonesiaFaculty of Medicine, Diponegoro University, Semarang, IndonesiaBackground: The use of spinal anesthesia in patients undergoing cesarean section (CS) is at risk of experiencing post-dural puncture headache (PDPH). This is influenced by several factors. Objective: This study aimed to assess the effect of risk factors on the occurrence of PDPH in patients undergoing CS under spinal anesthesia. Methods: The study design is a nested case-control study with independent variables influencing the incidence of PDPH in CS with spinal anesthesia. Samples were taken from CS patients with spinal anesthesia at the Central Surgical Installation of Dr. Kariadi General Hospital, who met the inclusion and exclusion criteria. Result: A total of 74 patients were included in the multivariate analysis, which showed that neurological disorders with p-value = 0.069; OR= 9,306; 95% CI = 0.842-102.828 and the number of punctures with p = 0.060; OR= 4.798; 95% CI = 0.997-23.075 is the most significant risk factor for the incidence of PDPH in CS patients. There was an additive effect which indicated that mobilization of more than 6 hours mutually reinforces the occurrence of PDPH in CS patients. Conclusion: Preoperative risk factors such as a history of neurological disorders increase the incidence of PDPH in CS patients. Intraoperative risk factors in this study were total puncture and needle size, increasing the incidence of PDPH in CS patients. Post-operative risk factors, in this case, immobilization, increase the incidence of PDPH in CS patients. Preoperative, intraoperative, and post-operative risk factors, together or separately, increase the incidence of PDPH in patients undergoing CS.https://ejournal.undip.ac.id/index.php/janesti/article/view/61657cesarean sectionearly mobilizationpost-dural puncture headacherisk of post-dural puncture headacherisk of spinal anesthesia |
| spellingShingle | Widya Istanto Nurcahyo Johan Arifin Doso Sutiyono Bondan Irtani Cahyadi Dina Paramita Taufik Eko Nugroho Chandra Hermawan Manapa Indra Kusuma Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study JAI (Jurnal Anestesiologi Indonesia) cesarean section early mobilization post-dural puncture headache risk of post-dural puncture headache risk of spinal anesthesia |
| title | Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study |
| title_full | Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study |
| title_fullStr | Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study |
| title_full_unstemmed | Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study |
| title_short | Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study |
| title_sort | risk factors of post dural puncture headache in cesarean section patients a multivariate analysis study |
| topic | cesarean section early mobilization post-dural puncture headache risk of post-dural puncture headache risk of spinal anesthesia |
| url | https://ejournal.undip.ac.id/index.php/janesti/article/view/61657 |
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