- Just 16.1% of pediatric patients presenting to the emergency department (ED) or a clinician with complaints of suspected migraine or primary headache received a prescription consistent with evidence-based medicine (EBM), and 46.0% received no medication at all.
- 1 of every 6 patients who received a prescription received an opioid or barbiturate.
Why this matters
- 45.7% of patients who reported headache symptoms received no headache or migraine diagnosis.
- Retrospective study using data from electronic health record between 2008 and 2014 to evaluate encounters between 38,926 children and adolescents (aged, 6-17 years) with migraine or primary headache and 1617 providers.
- Funding: Migraine Research Foundation.
- 17.7% and 36.6% of patients were diagnosed with migraine, headache, respectively.
- Only 16.1% patients received EBM, whereas 46.0% patients did not receive any medications.
- Older children (OR, 1.07/year of age; P<.001 females p and those diagnosed with migraine had higher odds of receiving ebm.>
- Among patients who received a prescription, 15.8% received an opioid or barbiturate.
- Being older (OR, 1.14/year of age; P<.001 female p or cared for in ed care increased the risk.>
- Only initial visit to a single large health system in the Midwest studied.
Coauthored with Antara Ghosh, PhD