当前位置： SCI文献检索 > HEADACHE期刊下所有文献 > Predictability of future attacks by migraineurs: a prospective observational study.

Predictability of future attacks by migraineurs: a prospective observational study.

Abstract：

OBJECTIVE:To determine the predictability of future migraine attacks and to describe the effect of migraine on daily life during and between migraine attacks. BACKGROUND:Migraine is associated with substantial economic and humanistic burden. There is growing evidence that early intervention with triptans results in better treatment outcomes. However, this is dependent on a patient's preparedness for an attack including having abortive medications readily accessible at headache onset. METHODS:Physician-diagnosed adult migraine sufferers, who treat with prescription or over-the-counter medications, completed 2 self-reported, Internet-based questionnaires, administered at baseline and following the resolution of the next migraine attack. The baseline questionnaire included the Migraine Disability Assessment questionnaire (MIDAS), questions about experiences on days between attacks, predictions of the date, time of day (5 time windows), and sufferer's location (4 places) at the start of their next migraine. At follow-up, information was collected in the similar fashion about the date, time of day, and sufferer's location at the start of their most recent migraine. RESULTS:A total of 1519 migraine sufferers completed the baseline questionnaire and 877 (57.7%) completed the follow-up. At baseline, 58.7% experienced moderate to severe disability from headache, based on MIDAS. Only 4.0% were able to predict the exact date of their next migraine; 21.24% predicted next migraine within 3 days. Larger proportions (46.6%) were able to accurately predict time of day or location (70.7%) of their next migraine. In the past 3 months, 92.6% reported that they were forced to change daily plans because of migraine. Because of fear of getting a migraine, 20.2% had avoided and 27.0% had changed a work commitment, and 27.3% had avoided and 28.2% had changed social plans. CONCLUSIONS:Migraine sufferers are generally unable to predict onset of the next migraine. Lack of predictability heightens the importance of education and preparedness for a migraine attack which may also reduce fear and anxiety between attacks.

journal_name

Headache

journal_title

Headache

authors

Hu XH,Golden W,Bolge SC,Katic B,Chen YT,Wagner S,Cady R

doi

10.1111/j.1526-4610.2010.01630.x

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

1296-305

issue

eissn

0017-8748

issn

1526-4610

pii

HED1630

journal_volume

pub_type

杂志文章

在线工具

Predictability of future attacks by migraineurs: a prospective observational study.