No effect of recumbency duration on the occurrence of post-lumbar puncture headache with a 22G cutting needle

Sung Reul Kim, Hyun S. Chae, Mi J. Yoon, Jung H. Han, Kwang J. Cho, Sun J. Chung

Research output: Contribution to journalArticle

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Abstract

Background: Supine recumbence has been widely performed to prevent post-lumbar puncture headache (PLPH). However, the optimal duration of supine recumbence is controversial. The aim of the study is to compare the occurrence of PLPH according to the duration of supine recumbence in patients with neurological disorders.Methods: A non-equivalent control/experimental pre-/post-test study design was used. Seventy consecutive patients were prospectively enrolled between July 2007 and July 2008. Thirty-five patients underwent supine recumbence for four hours after lumbar puncture (Group 1) and 35 patients underwent supine recumbence for one hour (Group 2).Results: The overall frequency of PLPH was 31.4%. The frequency of PLPH was not significantly different between the Group 1 (28.6%) and Group 2 (34.3%) (P = 0.607). In patients with PLPH, the median severity (P = 0.203) and median onset time of PLPH (P = 0.582) were not significantly different between the two groups. In a logistic regression analysis, the previous history of post-lumbar puncture headache was a significant risk factor for the occurrence of PLPH (OR = 11.250, 95% CI: 1.10-114.369, P = 0.041).Conclusions: Our study suggests that short duration (one hour) of supine recumbence may be as efficient as long duration (four hours) of supine recumbence to prevent PLPH.

Original languageEnglish
Article number1
JournalBMC Neurology
Volume12
DOIs
Publication statusPublished - 2012 Jan 30
Externally publishedYes

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Post-Dural Puncture Headache
Needles
Spinal Puncture
Nervous System Diseases
Logistic Models
History
Regression Analysis

ASJC Scopus subject areas

  • Clinical Neurology

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No effect of recumbency duration on the occurrence of post-lumbar puncture headache with a 22G cutting needle. / Kim, Sung Reul; Chae, Hyun S.; Yoon, Mi J.; Han, Jung H.; Cho, Kwang J.; Chung, Sun J.

In: BMC Neurology, Vol. 12, 1, 30.01.2012.

Research output: Contribution to journalArticle

Kim, Sung Reul ; Chae, Hyun S. ; Yoon, Mi J. ; Han, Jung H. ; Cho, Kwang J. ; Chung, Sun J. / No effect of recumbency duration on the occurrence of post-lumbar puncture headache with a 22G cutting needle. In: BMC Neurology. 2012 ; Vol. 12.
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abstract = "Background: Supine recumbence has been widely performed to prevent post-lumbar puncture headache (PLPH). However, the optimal duration of supine recumbence is controversial. The aim of the study is to compare the occurrence of PLPH according to the duration of supine recumbence in patients with neurological disorders.Methods: A non-equivalent control/experimental pre-/post-test study design was used. Seventy consecutive patients were prospectively enrolled between July 2007 and July 2008. Thirty-five patients underwent supine recumbence for four hours after lumbar puncture (Group 1) and 35 patients underwent supine recumbence for one hour (Group 2).Results: The overall frequency of PLPH was 31.4{\%}. The frequency of PLPH was not significantly different between the Group 1 (28.6{\%}) and Group 2 (34.3{\%}) (P = 0.607). In patients with PLPH, the median severity (P = 0.203) and median onset time of PLPH (P = 0.582) were not significantly different between the two groups. In a logistic regression analysis, the previous history of post-lumbar puncture headache was a significant risk factor for the occurrence of PLPH (OR = 11.250, 95{\%} CI: 1.10-114.369, P = 0.041).Conclusions: Our study suggests that short duration (one hour) of supine recumbence may be as efficient as long duration (four hours) of supine recumbence to prevent PLPH.",
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