# Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis [version 2; peer review: 2 approved] > Mutiawati E. URL kanonis: https://discover.unhas.ac.id/publications/global-prevalence-and-pathogenesis-of-headache-in-covid-19-a-systematic-review-a Jurnal / Konferensi: F1000research Tahun terbit: 2021 DOI: https://doi.org/10.12688/F1000RESEARCH.27334.1 ISSN: 20461402 Kuartil SJR: Q1 Citations: 13 ## Authors - Mutiawati E. ## Abstract Background : This study was conducted to determine the prevalence of headache in coronavirus disease 2019 (COVID-19) and to assess its association as a predictor for COVID-19. This study also aimed to discuss the possible pathogenesis of headache in COVID-19. Methods : Available articles from PubMed, Scopus, and Web of Science were searched as of September 2 nd , 2020. Data on characteristics of the study, headache and COVID-19 were extracted following the PRISMA guidelines. Biases were assessed using the Newcastle-Ottawa scale. The cumulative prevalence of headache was calculated for the general population (i.e. adults and children). The pooled odd ratio (OR) with 95% confidence intervals (95%CI) was calculated using the Z test to assess the association between headache and the presence of COVID-19 cases. Results : We included 104,751 COVID-19 cases from 78 eligible studies to calculate the global prevalence of headache in COVID-19 and 17 studies were included to calculate the association of headache and COVID-19. The cumulative prevalence of headache in COVID-19 was 25.2% (26,464 out of 104,751 cases). Headache was found to be more prevalent, approximately by two-fold, in COVID-19 patients than in non-COVID-19 patients with symptoms of other respiratory viral infections, OR: 1.73; 95% CI: 1.94, 2.5 with p=0.04. Conclusion : Headache is common among COVID-19 patients and seems to be more common in COVID-19 patients compared to those with the non-COVID-19 viral infection. No definitive mechanisms on how headache emerges in COVID-19 patients but several possible hypotheses have been proposed. However, extensive studies are warranted to elucidate the mechanisms. PROSPERO registration : CRD42020210332 (28/09/2020) ## Keywords - Open peer review - Plant biology - Coronavirus disease 2019 (COVID-19) - Meta-analysis - Pathogenesis - 2019-20 coronavirus outbreak - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) - Medicine - Pandemic - Neuroscience - Physiology - Virology - Immunology - Biology - Pathology - Outbreak - Disease - Infectious disease (medical specialty) - Botany --- Sumber: Discover Unhas — RIMS Universitas Hasanuddin. Saat mengutip, gunakan DOI bila tersedia atau URL kanonis di atas.