Paradigm shift in migraine management impacted by COVID-19 pandemic and the role of confounding factors inflicting the change

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurosciences Pub Date : 2022-07-01 DOI:10.17712/nsj.2022.3.20210058

Y. Malik, S. Karmastaji, Khulood K. AlJarman, Y. Abdelmajid, Muna H. Lootah, J. Dar, A. Almadani

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引用次数: 0

Abstract

Objectives: To assess the impact of the COVID-19 pandemic on migraineur’s quality of life and confounding factors. Methods: This is an observational cohort study conducted in Rashid hospital, Dubai Health Authority, UAE. Study was plotted to assess migraine indices in pre-COVID period, pre-pandemic and pandemic periods and to evaluate the pandemic induced paradigm shift in migraine management. Results: Out of 840 migraineurs 201 patients were selected, with an obvious female predominance (78%). Migraine without Aura was found in 70% and Migraine with Aura in 29.9%. Mean MIDAS score during period I, II and II was 22.78, 18.58 and 17.92 respectively indicating certain degree of improvement rather than deterioration during pandemic (p=0.001). Interestingly significant reduction in both migraine frequency and severity from pre-COVID to COVID period was noticed (p=0.01). Parameters like headache days/month, use of abortive therapy and Emergency visits also declined. Chronic migraine (CM) showed more improvement than episodic migraine (EM). Confounding factors like distance working and lack of social/professional stress mainly rendered this change. A modified strategy to handle headache during any pandemic/crisis can ensure quality management of migraine. Conclusion: Migraine patients had a resilient behavior during the COVID pandemic and showed significant improvement of all indices. Confounding factors like distance working played the most favorable role.

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受COVID-19大流行影响的偏头痛管理模式转变以及造成这种变化的混杂因素的作用

目的:评价新冠肺炎大流行对偏头痛患者生活质量的影响及其混杂因素。方法:这是一项在阿联酋迪拜卫生局拉希德医院进行的观察性队列研究。该研究旨在评估新冠肺炎前、大流行前和大流行时期的偏头痛指数，并评估大流行引起的偏头痛管理范式转变。结果:840例偏头痛患者中，有201例患者入选，女性占明显优势(78%)。无先兆偏头痛占70%，有先兆偏头痛占29.9%。I、II和II期的平均MIDAS评分分别为22.78、18.58和17.92，表明在大流行期间有一定程度的改善而不是恶化(p=0.001)。有趣的是，从COVID前到COVID期间，偏头痛的频率和严重程度都显著降低(p=0.01)。头痛天数/月、流产治疗的使用和急诊次数等参数也有所下降。慢性偏头痛(CM)表现出比发作性偏头痛(EM)更多的改善。远程工作和缺乏社会/职业压力等混杂因素主要导致了这一变化。在任何大流行/危机期间处理头痛的改进战略可以确保偏头痛的质量管理。结论:偏头痛患者在新冠肺炎疫情期间表现良好，各项指标均有显著改善。远程工作等混杂因素发挥了最有利的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.