Prevalence and impact of migraine among US Army soldiers deployed in support of Operation Iraqi Freedom.

Abstract:

OBJECTIVES:To assess the prevalence and impact of migraine headaches in US Army soldiers deployed in support of Operation Iraqi Freedom. METHODS:A brigade of US Army soldiers stationed at Ft. Lewis, Washingtion was given a self-administered headache questionnaire within 10 days of return from a 1-year combat tour in Iraq. Soldiers who screened positive for migraine were surveyed again by phone 3 months after return from Iraq. RESULTS:In total, 19% of soldiers screened positive for migraine and 17% for possible migraine. Soldiers with a positive migraine screen had a mean of 3.1 headache days per month, a mean headache duration of 5.2 hours, and a mean of 2.4 impaired duty days per month due to headache. Soldiers with migraine made a total of 490 sick call visits for headache over a 3-month period compared with 90 sick call visits among those with possible migraine. In all, 75% of the soldiers with migraine used over-the-counter analgesics and only 4% used triptans. Soldiers with migraine contacted 3 months after returning from Iraq had a mean of 5.3 headache days per month and 36% had a Migraine Disability Assessment Scale grade of 3 or 4. CONCLUSIONS:Migraine headaches are common in deployed US Army soldiers exceeding the expected prevalence. These headaches result in impaired duty performance and are a frequent cause of sick call visits. Migraine headaches tend to persist after deployment in many soldiers.

journal_name

Headache

journal_title

Headache

authors

Theeler BJ,Mercer R,Erickson JC

doi

10.1111/j.1526-4610.2008.01159.x

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

876-82

issue

6

eissn

0017-8748

issn

1526-4610

pii

HED1159

journal_volume

48

pub_type

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