@conference {940, title = {Evaluation of the burden of migraine on the partners lifestyle: a multicenter study}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: Migraine is a highly disabling disease that affects the patient{\textquoteright}s life, but its consequences on the patient{\textquoteright}s partner have been barely studied. The objective was to analyze these effects on romantic relationship, relationship with their children, friendship and work; as well as to evaluate caregiver burden and the presence of anxiety and/or depression.
Methods: Cross-sectional observational study. An online survey was filled by partners of migraine patients from five Spanish Headache Units. Questions about the four assessed areas and two scales to evaluate anxiety, depression and caregiver burden (Hospital Anxiety and Depression Scale and Zarit scale) were included. The presence of anxiety and depression was compared to the Spanish prevalence (6.7\% in both cases).
Results: Out of 176 registered responses, 155 were accepted. The sample included 86.5\% of women, with mean age 44.2 +- 10.4 years. Effects on partners were found on love relationship and items concerning children and friendships, with a minor impact at work. Partners showed a significant moderate burden according to the Zarit scale (p = 12/155 = 0.077 [0.041-0.131]; p \< 0.001) and a higher anxiety rate than the 6.7\% national prevalence (p = 23/155 = 0.148 [0.096-0.214]; p \< 0.001), but similar depression rate.
Conclusion: We found an impact on the patient{\textquoteright}s partners on the studied areas. Migraine is a disease that implies caregiver burden in the patient{\textquoteright}s environment with possible effect on anxiety levels.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {Fern{\'a}ndez-Bermejo, Eva M and {\'A}lvaro Planchuelo-G{\'o}mez and Quintas, Sonia and Gonzalez-Martinez, Alicia and Garc{\'\i}a-Azor{\'\i}n, David and Sierra, {\'A}lvaro and {\'A}ngel L. Guerrero and Santos-Lasaosa, Sonia and Navarro-P{\'e}rez, Mar{\'\i}a P and Gonz{\'a}lez-Garc{\'\i}a, Nuria and D{\'\i}az-de-Ter{\'a}n, Javier and Ana B Gago-Veiga} } @article {924, title = {Temporal distribution of emergency room visits in patients with migraine and other headaches}, journal = {Expert Review of Neurotherapeutics}, volume = {21}, year = {2021}, pages = {599-605}, abstract = {

Background: Headache is a leading reason for presentation to the emergency department (ED) with migraine being the most frequently headache. To ensure the adequate staffing of healthcare providers during peak times of headache visits, we analyzed the temporal distribution of emergency department visits in patients presenting with headache and/or migraine.

Research design and methods: The authors conducted an ecological study, including all consecutive visits to the ED for headache. Patients were classified according to the IHS Classification. We analyzed circadian, circaseptan and circannual patterns for number of visits, comparing migraine patients with other headache patients.

Results: There were 2132 ED visits for headache, including primary headache in 1367 (64.1\%) cases; migraine in 963 (45.2\%); secondary headache in 404 (18.9\%); and unspecified headache in 366 (17.1\%). The circadian pattern showed peaks around 11:00{\textendash}13:00 and 17:00{\textendash}19:00, with visits during the night shift 45\% less frequent (p \< 0.001). The circaseptan pattern showed a peak on Monday-Tuesday and a low point on Sunday (p \< 0.007). The circannual pattern peaked in March and decreased in June.

Conclusions: ED visits for headache showed specific circadian, circaseptan and circannual variations. No differences were found in these patterns when comparing migraine patients to other headache patients.

}, doi = {10.1080/14737175.2021.1906222}, url = {https://doi.org/10.1080/14737175.2021.1906222}, author = {Garc{\'\i}a-Azor{\'\i}n, David and Abelaira-Freire, Jaime and Rodriguez-Adrada, Esther and Gonz{\'a}lez-Garc{\'\i}a, Nuria and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Porta-Etessam, Jes{\'u}s and Mart{\'\i}n-S{\'a}nchez, Francisco J} }