Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1994-5-20
pubmed:abstractText
The objective of this study was to describe the characteristics and clinical course of patients who receive emergency department (ED) migraine treatment and their association with frequent ED visits. All migraine patient records during a 42-month period were reviewed retrospectively at an urban teaching hospital ED. One hundred eighty-five migraine patients had 339 total visits; 133 had a single visit; 31 had two visits; and 21 patients had three or more ED visits (range, 3 to 26 visits). Patients with three or more visits accounted for 42.5% of all ED migraine visits. Drugs were administered in 82.3%, and efficacy was documented in 49% of ED visits. Complete or considerable relief was noted in 64.5% of visits. Drug abuse was infrequently identified in migraine patients. Most migraine patients seem to use the ED appropriately. A small group (11.4%) of patients accounted for 42.5% of all ED visits. Given the nature of severe, frequent migraines and the current lack of consistently effective therapy, this may be a common ED phenomenon. More effective management strategies and therapy that will enable patients to reduce their dependence on the ED for treatment would be useful for patients with multiple ED visits.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0735-6757
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
134-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8161381-Adult, pubmed-meshheading:8161381-Analysis of Variance, pubmed-meshheading:8161381-Emergency Service, Hospital, pubmed-meshheading:8161381-Episode of Care, pubmed-meshheading:8161381-Female, pubmed-meshheading:8161381-Health Services Misuse, pubmed-meshheading:8161381-Hospitals, Teaching, pubmed-meshheading:8161381-Hospitals, Urban, pubmed-meshheading:8161381-Humans, pubmed-meshheading:8161381-Male, pubmed-meshheading:8161381-Migraine Disorders, pubmed-meshheading:8161381-Missouri, pubmed-meshheading:8161381-Patient Acceptance of Health Care, pubmed-meshheading:8161381-Recurrence, pubmed-meshheading:8161381-Retrospective Studies, pubmed-meshheading:8161381-Self Medication, pubmed-meshheading:8161381-Substance-Related Disorders, pubmed-meshheading:8161381-Treatment Outcome
pubmed:year
1994
pubmed:articleTitle
An evaluation of the role of the ED in the management of migraine headaches.
pubmed:affiliation
Department of Emergency Medicine, School of Medicine, University of Missouri-Kansas City.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't