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Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study

Population-level data on migraine hospital admission trends are unavailable. Changes in stroke care may have influenced these, since migraine is one of the most common stroke mimics. In this study, all hospital admissions on neurological, internal medicine, and pediatric wards in Finland with migrai...

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Autores principales: Sipilä, Jussi O.T., Ruuskanen, Jori O., Rautava, Päivi, Kytö, Ville
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073942/
https://www.ncbi.nlm.nih.gov/pubmed/31979328
http://dx.doi.org/10.3390/jcm9020320
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author Sipilä, Jussi O.T.
Ruuskanen, Jori O.
Rautava, Päivi
Kytö, Ville
author_facet Sipilä, Jussi O.T.
Ruuskanen, Jori O.
Rautava, Päivi
Kytö, Ville
author_sort Sipilä, Jussi O.T.
collection PubMed
description Population-level data on migraine hospital admission trends are unavailable. Changes in stroke care may have influenced these, since migraine is one of the most common stroke mimics. In this study, all hospital admissions on neurological, internal medicine, and pediatric wards in Finland with migraine as the primary diagnosis for persons at least 16 years of age in 2004–2014 were studied, resulting in an analysis of 6195 individuals with 7764 migraine discharges. The number of discharges increased by 4.2% annually (p = 0.000084), with no change in age of the admitted patients. Comorbidity burden was low but increased during the study period (p < 0.0001). The frequency of common vascular risk factors as comorbidities increased by 11–19% annually. Admission duration shortened by 2% annually (p < 0.0001). An intravenous thrombolysis was given in four admissions. It seems that migraine hospital admissions have become more frequent and the patients more often have cardiovascular risk factors, suggesting increased awareness and more aggressive acute evaluation of suspected stroke as the cause.
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spelling pubmed-70739422020-03-19 Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study Sipilä, Jussi O.T. Ruuskanen, Jori O. Rautava, Päivi Kytö, Ville J Clin Med Communication Population-level data on migraine hospital admission trends are unavailable. Changes in stroke care may have influenced these, since migraine is one of the most common stroke mimics. In this study, all hospital admissions on neurological, internal medicine, and pediatric wards in Finland with migraine as the primary diagnosis for persons at least 16 years of age in 2004–2014 were studied, resulting in an analysis of 6195 individuals with 7764 migraine discharges. The number of discharges increased by 4.2% annually (p = 0.000084), with no change in age of the admitted patients. Comorbidity burden was low but increased during the study period (p < 0.0001). The frequency of common vascular risk factors as comorbidities increased by 11–19% annually. Admission duration shortened by 2% annually (p < 0.0001). An intravenous thrombolysis was given in four admissions. It seems that migraine hospital admissions have become more frequent and the patients more often have cardiovascular risk factors, suggesting increased awareness and more aggressive acute evaluation of suspected stroke as the cause. MDPI 2020-01-23 /pmc/articles/PMC7073942/ /pubmed/31979328 http://dx.doi.org/10.3390/jcm9020320 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Sipilä, Jussi O.T.
Ruuskanen, Jori O.
Rautava, Päivi
Kytö, Ville
Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title_full Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title_fullStr Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title_full_unstemmed Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title_short Adult Migraine Hospital Admission Trends in Finland: A Nationwide Registry Study
title_sort adult migraine hospital admission trends in finland: a nationwide registry study
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073942/
https://www.ncbi.nlm.nih.gov/pubmed/31979328
http://dx.doi.org/10.3390/jcm9020320
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