Multimorbidity in patients with chronic migraine and medication overuse headache

Primary tabs

SCIENCE
Multimorbidity in patients with chronic migraine and medication overuse headache
Key Take-Away: 

A chronic migraine is linked with a significant number of comorbidities. The study results affirm that the effect and rate of this multimorbidity can be a risk factor for migraine chronification and medication overuse headache also hampers its management.

Introduction:

One of the major risk factors for a chronic migraine (CM) management is the multimorbidity as the patients with CM represent a significant number of comorbidities, especially cardiovascular and psychiatric. The study aims to discuss the effect and the frequency of multimorbidity in CM and medication overuse headache (MOH) patients.

 

Methods:

Among the CM patients that were visiting a structured withdrawal for coexisting MOH, the analysis determined multimorbidity along with CM-MOH. A comparison of clinical and demographic variables, functional disability and quality of life were done between the groups. Researchers also evaluated whether patients with multimorbidity had a greater possibility to visit the emergency room, need additional withdrawal treatments or relapse into CM by 12 months.

 

Results:

A total of 194 patients were registered for analysis. Out of these patients, 61% showed only one comorbidity and 32% presented with multimorbidity. The old patients or patients with greater disability, lower QoL, higher headache rate and lower employment rate/education showed multimorbidity. After screening for gender, headache frequency, years of education, and age, patients found have a higher incidence of barbiturates/opioids usage, another withdrawal, attend ER and relapse into CM by 12 months after discharge.

 

Conclusions:

Understanding multimorbidity in CM-MOH patients is essential to improve the management of these complicated patients, who are at risk of polypharmacy and raised health care utilization.

Source:

Acta Neurol Scand

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/30107027

Original title of article:

Multimorbidity in patients with chronic migraine and medication overuse headache.

Authors:

Domenico D'Amico et al.

Exploratory, Migraine, Head, Chronic
Log in or register to post comments