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Acta Neurológica Colombiana
versão impressa ISSN 0120-8748versão On-line ISSN 2422-4022
Resumo
ROJAS VILLEGAS, Yessika Milena et al. Predictors of response in status migrainosus in an outpatient infusion center. Acta Neurol Colomb. [online]. 2022, vol.38, n.2, pp.71-80. Epub 21-Jul-2022. ISSN 0120-8748. https://doi.org/10.22379/24224022407.
INTRODUCTION:
Status migrainosus is a complication of migraine, patients are often hospitalized for diagnostic studies and/or treatment. An alternative for the management, are the outpatient infusion center, minimizing hospital admissions and unnecessary examinations.
OBJECTIVE:
To determine the therapeutic response and associated factors in patients with migraine status treated in an infusion room.
METHODOLOGY:
Retrospective cohort study whose population was migraine patients attended in an infusion room between February and August 2019. Information on sociodemographic, clinical, and therapeutic management variables was obtained from the review of medical records. The response was evaluated with an analogous pain scale at the beginning and at the end of the treatment; Those patients with improvement greater than 50 % were considered responders. Predictive factors of therapeutic response were evaluated using logistic regression.
RESULTS:
124 patients were included, with an average age of 36 (SD = 12 years), 82.3 % were women. The average duration of the migraine state was 8 (SD = 4 days), 73.4 % of the cases were without aura and 97 (78.2 %) were responders. The predictors of good response were the use of dexamethasone (OR: 4.3) and not using lidocaine (OR: 6.0).
CONCLUSIONS:
Most of the patients had a good response, which identified the outpatient infusion center as a good alternative to inpatient treatment of headache. In our experience, the steroid constitutes a fundamental part of the management of the status migrainosus once it has been established.
Palavras-chave : Migraine; Prognostic factors; Status migrainosus; Infusions Intravenous; Cohort Studies (MeSH).