RT info:eu-repo/semantics/article
T1 Evaluation of the Impact of the COVID-19 Lockdown in the Clinical Course of Migraine
A1 González Martínez, Alicia
A1 Planchuelo Gómez, Álvaro
A1 Guerrero Peral, Angel Luis
A1 García Azorín, David
A1 Santos Lasaosa, Sonia
A1 Navarro Pérez, María Pilar
A1 Odriozola González, Paula
A1 Irurtia Muñiz, María Jesús
A1 Quintas, Sonia
A1 Luis García, Rodrigo de
A1 Gago Veiga, Ana Beatriz
K1 Headache
K1 COVID-19
K1 SARS-CoV-2
K1 Migraine
K1 Lockdown
AB Objective. 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 42.5612.0 (mean6SD). 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.
PB Oxford University Press
SN 1526-2375
YR 2021
FD 2021
LK https://uvadoc.uva.es/handle/10324/70604
UL https://uvadoc.uva.es/handle/10324/70604
LA eng
NO Pain Medicine, vol. 22, n. 9, p. 2079-2091
DS UVaDOC
RD 05-feb-2025