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Clinical Predictors for Migraine in Patients Presenting With Nausea and/or Vomiting
Journal of Neurogastroenterology and Motility ; : 516-520, 2013.
Article in English | WPRIM | ID: wpr-191624
ABSTRACT
BACKGROUND/

AIMS:

Many migraine patients develop nausea and/or vomiting (N/V) and are referred to gastroenterologists. This can lead to an inappropriate treatment and a delay of the correct diagnosis. We therefore aimed to identify predictors for migraine in patients presenting with N/V as well as headache.

METHODS:

A total of 407 patients who were first diagnosed with migraine at Samsung Medical Center, Seoul, Korea, in 2009 were analyzed. Among them, 261 patients had N/V (migraine with N/V group) and 146 did not (migraine without N/V group). Each patient was evaluated using a structured questionnaire.

RESULTS:

Migraine with N/V group was younger, comprised of more females, had more abnormal body mass index, less alcohol intake, more family history of migraine, higher attack severity, more stress association, more aggravation by physical activity, more abdominal pain, and more photophobia/phonophobia than migraine without N/V group. Multivariate analysis revealed that young age (age or = 40 years, odds ratio (OR), 2.128; 95% confidence interval (CI), 1.206-3.756; P = 0.009), female (OR, 2.703; 95% CI, 1.492-4.896; P = 0.001), family history of migraine (OR, 2.080; 95% CI, 1.169-3.700; P = 0.013), abdominal pain (OR, 4.452; 95% CI, 1.263-15.693; P = 0.020), and photophobia/phonophobia (OR, 2.296; 95% CI, 1.308-4.030; P = 0.004) were independent predictive factors associated with migraine in patients with N/V.

CONCLUSIONS:

Because young age, female, family history of migraine, abdominal pain, and photophobia/phonophobia are associated with migraine in patients presenting with N/V as well as headache, physicians should have a high index of suspicion for migraine in N/V patients who belong to these categories.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Vomiting / Abdominal Pain / Body Mass Index / Odds Ratio / Multivariate Analysis / Headache / Korea / Migraine Disorders / Motor Activity / Nausea Type of study: Etiology study / Prognostic study / Qualitative research Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: Journal of Neurogastroenterology and Motility Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Vomiting / Abdominal Pain / Body Mass Index / Odds Ratio / Multivariate Analysis / Headache / Korea / Migraine Disorders / Motor Activity / Nausea Type of study: Etiology study / Prognostic study / Qualitative research Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: Journal of Neurogastroenterology and Motility Year: 2013 Type: Article