{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T04:35:25Z","timestamp":1780806925527,"version":"3.54.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR000457"],"award-info":[{"award-number":["UL1TR000457"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Department of Anesthesiology, Hospital for Special Surgery","award":["Research and Education Fund"],"award-info":[{"award-number":["Research and Education Fund"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HSS Journal\u00ae: The Musculoskeletal Journal of Hospital for Special Surgery"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The incidence of post-dural puncture headache (PDPH) arising from spinal anesthesia in the general population is low. However, patients under 45\u00a0years have been shown to exhibit a higher incidence of PDPH, even with small needles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Questions\/Purposes<\/jats:title>\n                    <jats:p>This study aimed to estimate the incidence of PDPH from a 27G pencil-point needle in ambulatory surgery patients between the ages of 15\u201345\u00a0years and compare incidence of PDPH by age group, sex, and history of headache.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective cohort study, 300 patients (15\u201345\u00a0years old) who underwent simple knee arthroscopy under spinal anesthesia with a 27G pencil-point needle were enrolled. Verbal consent was obtained during the initial phone conversation between post-operative days (PODs) 2\u20135. A PDPH questionnaire was administered during this conversation and between PODs 7\u201310. Patients who reported a positional headache were contacted by a physician co-investigator, who determined PDPH diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five patients were excluded from analysis due to complicated operative procedures or spinal needle size. The overall PDPH incidence was 2.0% (95% CI 0.9\u20134.4; 6\/295). PDPH incidence in 15\u201319-year-old patients was 16.7% (95% CI 4.7\u201344.8; 2\/12). The crude relative risk of PDPH was 15.4 (95% CI 2.8\u2013114.4) for patients with and without history of headache and 2.5 (95% CI 0.5\u201314.8) for females vs. males. Overall, 16.3% (95% CI 12.5\u201320.9) of patients reported post-operative, non-positional headaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was a low overall incidence of PDPH among patients aged 15\u201345. Pre-planned subgroup analyses of PDPH incidence by age group revealed a high risk of PDPH among a small sample of 15\u201319-year-olds.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11420-017-9541-0","type":"journal-article","created":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T14:56:49Z","timestamp":1489676209000},"page":"146-151","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients"],"prefix":"10.1177","volume":"13","author":[{"given":"Kathryn","family":"DelPizzo","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris R.","family":"Edmonds","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Kahn","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara G.","family":"Fields","sequence":"additional","affiliation":[{"name":"Healthcare Research Institute, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodie","family":"Curren","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Rotundo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor M.","family":"Zayas","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,7,1]]},"reference":[{"key":"bibr1-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1177\/0333102412453951"},{"key":"bibr2-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01454.x"},{"key":"bibr3-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1993.tb03762.x"},{"key":"bibr4-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.60.6.681"},{"key":"bibr5-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1007\/BF03012401"},{"key":"bibr6-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1994.tb03978.x"},{"key":"bibr7-s11420-017-9541-0","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199412000-00012"},{"issue":"1","key":"bibr8-s11420-017-9541-0","first-page":"9","volume":"24","author":"Headache Classification Subcommittee of the International Headache 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