000112749 001__ 112749
000112749 005__ 20230519145603.0
000112749 0247_ $$2doi$$a10.1093/pm/pnaa449
000112749 0248_ $$2sideral$$a127841
000112749 037__ $$aART-2021-127841
000112749 041__ $$aeng
000112749 100__ $$aGonzalez-Martinez, A.
000112749 245__ $$aEvaluation of the Impact of the COVID-19 Lockdown in the Clinical Course of Migraine
000112749 260__ $$c2021
000112749 5060_ $$aAccess copy available to the general public$$fUnrestricted
000112749 5203_ $$aObjective: Previous studies have demonstrated that emotional stress, changes in lifestyle habits and infections can worsen the clinical course of migraine. We hypothesize that changes in habits and medical care during coronavirus disease 2019 (COVID-19) lockdown might have worsened the clinical course of migraine. Design: Retrospective survey study collecting online responses from migraine patients followed-up by neurologists at three tertiary hospitals between June and July 2020. Methods: We used a web-based survey that included demographic data, clinical variables related with any headache (frequency) and migraine (subjective worsening, frequency, and intensity), lockdown, and symptoms of post-traumatic stress. Results: The response rate of the survey was 239/324 (73.8%). The final analysis included 222 subjects. Among them, 201/222 (90.5%) were women, aged 42.5 ± 12.0 (mean±SD). Subjective improvement of migraine during lockdown was reported in 31/222 participants (14.0%), while worsening in 105/222 (47.3%) and was associated with changes in migraine triggers such as stress related to going outdoors and intake of specific foods or drinks. Intensity of attacks increased in 67/222 patients (30.2%), and it was associated with the subjective worsening, female sex, recent insomnia, and use of acute medication during a headache. An increase in monthly days with any headache was observed in 105/222 patients (47.3%) and was related to symptoms of post-traumatic stress, older age and living with five or more people. Conclusions: Approximately half the migraine patients reported worsening of their usual pain during the lockdown. Worse clinical course in migraine patients was related to changes in triggers and the emotional impact of the lockdown. © 2021 The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.
000112749 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000112749 590__ $$a3.637$$b2021
000112749 592__ $$a0.733$$b2021
000112749 594__ $$a4.5$$b2021
000112749 591__ $$aMEDICINE, GENERAL & INTERNAL$$b65 / 172 = 0.378$$c2021$$dQ2$$eT2
000112749 593__ $$aMedicine (miscellaneous)$$c2021$$dQ1
000112749 591__ $$aANESTHESIOLOGY$$b16 / 35 = 0.457$$c2021$$dQ2$$eT2
000112749 593__ $$aAnesthesiology and Pain Medicine$$c2021$$dQ1
000112749 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000112749 700__ $$aPlanchuelo-Gómez, A.
000112749 700__ $$aGuerrero, A.L.
000112749 700__ $$aGarcía-Azorín, D.
000112749 700__ $$0(orcid)0000-0001-5139-6031$$aSantos-Lasaosa, S.$$uUniversidad de Zaragoza
000112749 700__ $$0(orcid)0000-0001-6370-218X$$aNavarro-Pérez, M.P.$$uUniversidad de Zaragoza
000112749 700__ $$aOdriozola-González, P.
000112749 700__ $$aIrurtia, M.J.
000112749 700__ $$aQuintas, S.
000112749 700__ $$aDe Luis-García, R.
000112749 700__ $$aGago-Veiga, A.B.
000112749 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000112749 773__ $$g22, 9 (2021), 2079-2091$$pPain med.$$tPain Medicine (United States)$$x1526-2375
000112749 8564_ $$s643072$$uhttps://zaguan.unizar.es/record/112749/files/texto_completo.pdf$$yVersión publicada
000112749 8564_ $$s2361603$$uhttps://zaguan.unizar.es/record/112749/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000112749 909CO $$ooai:zaguan.unizar.es:112749$$particulos$$pdriver
000112749 951__ $$a2023-05-18-16:01:30
000112749 980__ $$aARTICLE