Elective hospitalizations for intractable headache: Outcomes and response predictors
Neurology® Clinical Practice Sep 29, 2020
Kiarashi J, Jion Y, Giglio B, et al. - Researchers here reported on their inpatient experience treating a variety of headache disorders with heterogeneous therapies and investigated outcomes and predictors of response. An IRB-approved retrospective chart review of 83 elective inpatient headache admissions from the Montefiore Headache Center was performed. Among these patients, overall, 90.4% (n = 75) had pain improvement at discharge; pain improvement was reported in 89.5% (n = 60) of those with chronic migraine, 75.0% (n = 9) of patients with NDPH, and 89.5% (n = 34) of all those with acute medication overuse. Of 66 patients receiving IV DHE, 59 (89.4%) had improvement at discharge; of 11 (13.2%) patients receiving IV lidocaine, 7 (63.6%) had improvement; of 14 (16.9%) patients receiving nerve blocks, all 14 (100%) had improvement at discharge. Per these finings, there were high rates of improvement in the short and intermediate term for all headache disorders in correlation with numerous treatments. They may suggest the possible utility of stratified hospitalized care including polytherapy for many patients.
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