A Cross-sectional Observational Study to Assess Clinical Characteristics, Prescription Patterns and Health-related Quality of Life in Patients with Migraine at a Tertiary Care Teaching Hospital

Abstract

Introduction: Many people around the world suffer greatly from migraine.It is critical to comprehend the clinical nuances, therapeutic approaches,and wider quality-of-life concerns that affect these patients.Objectives: The present study was focused on assessing the clinicalcharacteristics which include the symptom profile, triggering factors,prescription pattern, headache-related disability, and its impact onpatients’ health-related quality of life (HRQoL).Methods: A cross-sectional observational study was conducted fromOctober 2019 to March 2020 at the Department of Neurology, DhirajGeneral Hospital, Vadodara. The data were collected from patients’medical records and through counselling the patients who visited theOut-Patient Department (OPD) or In-Patient Department (IPD). All patientswho met the inclusion criteria were enrolled in the study.Results: The incidence of migraine was found to be higher in females(78%) as compared to males (22%). The majority of patients had a severedisability and severe impact on HRQoL with high MIDAS (MigraineDisability Assessment Scale) and HIT-6 (Headache Impact Test-6) scores.A majority of patients gained less score showing poor quality of life withMSQoL v2.1 [Migraine Specific Quality of Life (version 2.1)]. A higherMIDAS score was observed in chronic migraineurs than episodic migraineurswhile HIT-6 showed a comparable score. Unlike MIDAS andHIT-6, MSQoL v2.1 showed lower scores in chronic migraineurs thanepisodic migraineurs which depicts that chronic migraineurs had a poorhealth-related quality of life than episodic migraineurs.Conclusion: Healthcare professionals should routinely evaluate thequality of life and related disability to determine whether patients arereceiving effective treatment and if any additional treatment strategiesare warranted to enhance QOL. How to cite this article:Kapadi VD, Parekh KS. A Cross-sectionalObservational Study to Assess ClinicalCharacteristics, Prescription Patterns and HealthrelatedQuality of Life in Patients with Migraineat a Tertiary Care Teaching Hospital. ChettinadHealth City Med J. 2023;12(3):9-20. DOI: https://doi.org/10.24321/2278.2044.202344