Approaches to treatments of chronic migraine associated with medication overuse: a comparison between different intensity regimens
| Autor: | Susanna Usai, Marcella Curone, Silvia Schiavolin, Matilde Leonardi, Licia Grazzi, Alberto Raggi, D. D’Amico |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Migraine Disorders Dermatology Statistics Nonparametric Disability Evaluation Chronic Migraine Quality of life Surveys and Questionnaires Internal medicine medicine Chi-square test Humans Disabled Persons Prescription Drug Overuse Depression (differential diagnoses) Inpatients Chi-Square Distribution Depression business.industry General Medicine Middle Aged Psychiatry and Mental health Chronic Disease Quality of Life Mann–Whitney U test Physical therapy Female Neurology (clinical) Neurosurgery Headaches medicine.symptom business |
| Zdroj: | Neurological Sciences. 36:5-8 |
| ISSN: | 1590-3478 1590-1874 |
| Popis: | Treatment of chronic migraine with medication overuse requires withdrawal from acute medications. However, guidelines and clear indications for different intensity regimens, i.e., day hospital (DH) vs. inpatient treatment, are not available. Patients completed disability, quality of life (QoL) and depression questionnaires; headaches frequency and overused medications category were collected. Mann-Whitney U test and Chi square were used to assess differences between inpatients and DH patients; Bonferroni correction was applied. 194 patients aged 43.9 ± 12 (160 females) were enrolled (100 from DH, 94 inpatients). Inpatients were older, less educated and with lower employment rates. Inpatients had higher MIDAS scores (P = 0.003) and headache frequency (P = 0.002). They had lower QoL for restrictive (P = 0.002) and preventive components; no difference was found for disability, mood state and QoL emotional component. Patients treated during hospitalization had higher disease severity and lower quality of life, but similar disability and mood state than those treated in DH. |
| Databáze: | OpenAIRE |
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