BACKGROUND: We conducted a prospective study of patients admitted to 22 general emergency departments in France over 1 week. PATIENTS AND METHODS: Of 15,835 adult patients, 483 (3.1%) had headache and 98 (0.6%) had migraine. RESULTS: Compared with the migraine population in France, our migraine patients were similar in terms of proportion of female patients (75%) and mean age (37.6 ± 13.8 years) but presented earlier in their disease course. Patients sought emergency treatment because of a severe attack (49%) or because of ineffective treatment (20%). Non-opioid analgesics excluding non-steroidal anti-inflammatory drugs (NSAIDs), and NSAIDs, were most commonly prescribed as acute treatment, yet it took more than 48 h for symptom resolution in 36% of 92 follow-up patients. CONCLUSIONS: Results suggest there is room for improvement in choice of agents prescribed. We propose additional education and training of clinicians to improve adherence to clinical practice guidelines.
BACKGROUND: We conducted a prospective study of patients admitted to 22 general emergency departments in France over 1 week. PATIENTS AND METHODS: Of 15,835 adult patients, 483 (3.1%) had headache and 98 (0.6%) had migraine. RESULTS: Compared with the migraine population in France, our migrainepatients were similar in terms of proportion of female patients (75%) and mean age (37.6 ± 13.8 years) but presented earlier in their disease course. Patients sought emergency treatment because of a severe attack (49%) or because of ineffective treatment (20%). Non-opioid analgesics excluding non-steroidal anti-inflammatory drugs (NSAIDs), and NSAIDs, were most commonly prescribed as acute treatment, yet it took more than 48 h for symptom resolution in 36% of 92 follow-up patients. CONCLUSIONS: Results suggest there is room for improvement in choice of agents prescribed. We propose additional education and training of clinicians to improve adherence to clinical practice guidelines.
Authors: Mehtap Gürger; Metin Atescelik; Mustafa Yilmaz; Mustafa Yildiz; Hatice Kalayci; Mehmet Ali Kobat; Caner Fevzi Demir Journal: Arch Med Sci Date: 2016-06-30 Impact factor: 3.318
Authors: Janet H Ford; Shonda A Foster; Virginia L Stauffer; Dustin D Ruff; Sheena K Aurora; Jan Versijpt Journal: Patient Prefer Adherence Date: 2018-11-13 Impact factor: 2.711
Authors: Florian Rimmele; Josephine Janke; Peter Kropp; Ramon Kasch; Uwe Walter; Tim P Jürgens Journal: Front Neurol Date: 2022-03-24 Impact factor: 4.003