2.50
Hdl Handle:
http://hdl.handle.net/10755/162641
Type:
Presentation
Title:
Migraine Headache: ED Experiences and Post-ED Care
Abstract:
Migraine Headache: ED Experiences and Post-ED Care
Conference Sponsor:Emergency Nurses Association
Conference Year:1999
Author:Elizabeth, , VanDyne
Contact Address:Duke University Medical Center, Box 3869 Emergency Department, Durham, NC, 27710
Co-Authors:Patricia Huczko
Purpose: There are more than 40 million medical visits each year in the United States for headache. The burden experienced by patients suffering from migraine can be significant and can include impaired personal relations, activity limitation and loss of productive time. The purpose of this study was to describe the headache patient's emergency department experience and to describe the personal burden of migraine headaches experienced by patients.

Design, Setting and Sample: This is a descriptive, retrospective study using a convenience sample of 92 patients who sought treatment for migraine headaches in the emergency department (ED) of a university affiliated medical center. Patients who were admitted to the hospital for treatment of the migraine or other condition were excluded.

Methodology: Patients who were treated in the ED had their records screened by one of the investigators to collect data on the ED visit and to determine eligibility for the study. If the subject met the eligibility criteria, an attempt was made to contact the patient within 48 hours of the discharge to determine their interest in participating in the study. When it was not possible to contact the patient, the information collected at the initial screening was used. Thirty-eight of the 92 patients completed the telephone interview.

Results: Patients ranged in age from 22 to 58 years of age and 89% were female. Almost all (97.4%) had previously experienced migraine headaches and 78.4% had been to the ED with migraine headaches in the past. Most patients (84.7%) had used self-care measures prior to coming to the ED. However, 88.6% of the patients perceived these self-care measures as ineffective. The great majority of patients (86.1%) reported that their headache was better after treatment in the ED and were satisfied with the medications that they received in the ED. However, at the time of the telephone interview, 43.2% of the patients interviewed reported that they still had a headache. More than half of the patients interviewed were able to return to their usual daily routine with 24 hours of discharge from the ED. The majority of patients interviewed reported that migraine headaches interfered with their daily lives and more than half felt that headaches posed a financial burden.

Conclusions: The need for immediate attention to the migraineurs pain was demonstrated. The personal burden experienced by patients who suffer from migraine headaches was illustrated. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMigraine Headache: ED Experiences and Post-ED Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162641-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Migraine Headache: ED Experiences and Post-ED Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1999</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Elizabeth, , VanDyne</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Duke University Medical Center, Box 3869 Emergency Department, Durham, NC, 27710</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patricia Huczko</td></tr><tr><td colspan="2" class="item-abstract">Purpose: There are more than 40 million medical visits each year in the United States for headache. The burden experienced by patients suffering from migraine can be significant and can include impaired personal relations, activity limitation and loss of productive time. The purpose of this study was to describe the headache patient's emergency department experience and to describe the personal burden of migraine headaches experienced by patients.<br/><br/>Design, Setting and Sample: This is a descriptive, retrospective study using a convenience sample of 92 patients who sought treatment for migraine headaches in the emergency department (ED) of a university affiliated medical center. Patients who were admitted to the hospital for treatment of the migraine or other condition were excluded.<br/><br/>Methodology: Patients who were treated in the ED had their records screened by one of the investigators to collect data on the ED visit and to determine eligibility for the study. If the subject met the eligibility criteria, an attempt was made to contact the patient within 48 hours of the discharge to determine their interest in participating in the study. When it was not possible to contact the patient, the information collected at the initial screening was used. Thirty-eight of the 92 patients completed the telephone interview.<br/><br/>Results: Patients ranged in age from 22 to 58 years of age and 89% were female. Almost all (97.4%) had previously experienced migraine headaches and 78.4% had been to the ED with migraine headaches in the past. Most patients (84.7%) had used self-care measures prior to coming to the ED. However, 88.6% of the patients perceived these self-care measures as ineffective. The great majority of patients (86.1%) reported that their headache was better after treatment in the ED and were satisfied with the medications that they received in the ED. However, at the time of the telephone interview, 43.2% of the patients interviewed reported that they still had a headache. More than half of the patients interviewed were able to return to their usual daily routine with 24 hours of discharge from the ED. The majority of patients interviewed reported that migraine headaches interfered with their daily lives and more than half felt that headaches posed a financial burden.<br/><br/>Conclusions: The need for immediate attention to the migraineurs pain was demonstrated. The personal burden experienced by patients who suffer from migraine headaches was illustrated. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:38Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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