Sipilä Jussi O T, Ruuskanen Jori O, Rautava Päivi, Kytö Ville
Siun sote, North Karelia Central Hospital, Department of Neurology, 80210 Joensuu, Finland.
Division of Clinical Neurosciences, Department of Neurology, Turku University Hospital, 20521 Turku, Finland.
J Clin Med. 2020 Jan 23;9(2):320. doi: 10.3390/jcm9020320.
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 ( = 0.000084), with no change in age of the admitted patients. Comorbidity burden was low but increased during the study period ( < 0.0001). The frequency of common vascular risk factors as comorbidities increased by 11-19% annually. Admission duration shortened by 2% annually ( < 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.
目前尚无关于偏头痛住院趋势的人群水平数据。由于偏头痛是最常见的卒中模拟疾病之一，卒中护理的变化可能对这些数据产生了影响。在本研究中，我们对2004年至2014年芬兰神经科、内科和儿科病房中以偏头痛为主要诊断的至少16岁患者的所有住院情况进行了研究，共分析了6195例患者的7764次偏头痛出院情况。出院次数每年增加4.2%（ = 0.000084），而入院患者的年龄没有变化。合并症负担较低，但在研究期间有所增加（ < 0.0001）。作为合并症的常见血管危险因素的频率每年增加11%至19%。住院时间每年缩短2%（ < 0.0001）。有4例住院患者接受了静脉溶栓治疗。偏头痛住院似乎变得更加频繁，患者更常伴有心血管危险因素，这表明对疑似卒中病因的认识有所提高，急性评估也更加积极。
