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Smoking history and clinical features of cluster headache: Results from the korean cluster headache registry

Authors
Chung, P.-W.[Chung, P.-W.]Kim, B.-S.[Kim, B.-S.]Park, J.-W.[Park, J.-W.]Sohn, J.-H.[Sohn, J.-H.]Lee, M.J.[Lee, M.J.]Kim, B.-K.[Kim, B.-K.]Chu, M.K.[Chu, M.K.]Ahn, J.-Y.[Ahn, J.-Y.]Choi, Y.-J.[Choi, Y.-J.]Song, T.-J.[Song, T.-J.]Bae, D.-W.[Bae, D.-W.]Kim, D.[Kim, D.]Kim, J.-M.[Kim, J.-M.]Kim, S.-K.[Kim, S.-K.]Park, K.-Y.[Park, K.-Y.]Chung, J.M.[Chung, J.M.]Moon, H.-S.[Moon, H.-S.]Oh, K.[Oh, K.]Chung, C.-S.[Chung, C.-S.]Cho, S.-J.[Cho, S.-J.]
Issue Date
Apr-2021
Publisher
Korean Neurological Association
Keywords
cluster headache; smoking; sex differences
Citation
JOURNAL OF CLINICAL NEUROLOGY, v.17, no.2, pp.229 - 235
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF CLINICAL NEUROLOGY
Volume
17
Number
2
Start Page
229
End Page
235
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/90129
DOI
10.3988/jcn.2021.17.2.229
ISSN
1738-6586
Abstract
Background and Purpose Epidemiologic data suggest that cluster headache (CH) is significantly associated with cigarette smoking. The aim of this study was to determine differences in features between patients with a smoking history and those who are never-smokers, using data from a prospective multicenter registry. Methods Data used in this study were obtained from the Korean Cluster Headache Registry that collected data from consecutive patients diagnosed with CH. We compared clinical and demographic features between ever-smokers (current or former smokers) and never-smokers. Results This study enrolled 250 patients who were diagnosed with CH, of which 152 (60.8%) were ever-smokers and 98 (39.2%) were never-smokers. The age at CH onset was significantly lower in the never-smoker group than in the ever-smoker group [27.1±12.9 years vs. 30.6± 10.9 years (mean±standard deviation), p=0.024]. Seasonal rhythmicity (58.1% vs. 44.7%, p= 0.038) and triptan responsiveness (100% vs. 85.1%, p=0.001) were higher in never-smokers, while other clinical features such as pain severity, duration, attack frequency, and associated autonomic symptoms did not differ significantly between the groups. The male-to-female ratio was markedly higher in ever-smokers (29.4:1) than in never-smokers (1.7:1). Conclusions Most of the clinical features did not differ significantly between patients with a smoking history and never-smokers. However, the age at CH onset, sex ratio, and seasonal rhythmicity were significantly associated with smoking history. © 2021 Korean Neurological Association.
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