Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes.
Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes.
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DOI：
10.1007/s10072-021-05521-7
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Autunno M
中科院分区：
文献类型：
--
作者：
Currò CT;Ciacciarelli A;Vitale C;Vinci ES;Toscano A;Vita G;Trimarchi G;Silvestri R;Autunno M
这项研究的目的是评估意大利第一个新冠肺炎封锁对慢性偏头痛(CM)患者的影响。这项研究是基于对我们头痛中心的CM患者的电子邮件调查。这项调查评估了新冠肺炎禁售期和前一个月的人口统计、生活方式、睡眠、心理和偏头痛特征。结果是偏头痛对日常生活的影响以及发作频率、发作持续时间、偏头痛疼痛强度、每周偏头痛症状药物使用和疗效的变化。92名患者完成了调查。封闭期发作次数稳定40.2%，增加33.7%，减少26.1%；发作持续时间稳定55.4%，增加23.9%，减少20.7%。偏头痛疼痛稳定或减轻65.2%，增加34.8%；每周对症用药次数稳定50%，减少29，3%，增加20.7%；偏头痛药物疗效稳定73，9%，减少17，4%，增加8，7%。HIT-6评分64，63 ± 8，81。研究发现，远程工作、吸烟、受教育程度、停止在头痛中心内进行的治疗、对偏头痛的熟悉程度、睡眠、焦虑、感觉到的压力、对未来的担忧和新冠肺炎与偏头痛显著相关。在封锁期间，大约一半的患者临床稳定，四分之一的患者有所改善，另有四分之一的患者病情恶化。我们确定了不同的偏头痛影响因素；特别是，远程工作可以代表一种改善偏头痛患者生活的简单方法。本文的在线版本包含可用补充材料(10.1007/s10072-021-021-7)。
The objective of this study was to evaluate the impact of the first Italian COVID-19 lockdown on patients with chronic migraine (CM). The study was based on an e-mail survey addressed to CM patients of our headache center. The survey evaluated demographic, life style, sleep, psychological, and migraine features during the COVID-19 lockdown period and the month before. The outcomes were migraine impact on daily life and variation in attack frequency, attack duration, migraine pain intensity, migraine symptomatic drugs use per week, and efficacy. Ninety-two patients completed the survey. During the lockdown period, attack frequency was stable in 40,2%, increased in 33,7%, and reduced in 26,1% of patients; attack duration was stable in 55,4%, increased in 23,9%, and reduced in 20,7%. Migraine pain was stable or reduced in 65,2% and increased in 34,8%; number of symptomatic drugs per week was stable in 50%, reduced in 29,3%, and increased in 20,7%; migraine drug efficacy was stable in 73,9%, reduced in 17,4%, and increased in 8,7%. Patients had a HIT-6 score of 64,63 ± 8,81. Significant associations were found with remote working, smoke, education, discontinuation of the therapy performed within headache center, migraine familiarity, sleep, anxiety, perceived stress, concern about future, and COVID-19. During the lockdown, approximately half of the patients had a clinical stability, a quarter an improvement, and another quarter a worsening. We identified different migraine-influencing elements; in particular, the remote working could represent an easy way to ameliorate migraineurs’ life. The online version of this article contains supplementary material available (10.1007/s10072-021-05521-7).
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DOI：
10.1016/s1474-4422(18)30387-9
发表时间：
2018-12
期刊：
The Lancet. Neurology
影响因子：
--
作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
10.1007/s10072-020-04767-x
发表时间：
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期刊：
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
影响因子：
--
作者：
Altamura C;Cevoli S;Aurilia C;Egeo G;Fofi L;Torelli P;Brunelli N;Pierangeli G;Favoni V;Fallacara A;Pensato U;Barbanti P;Vernieri F
通讯作者：
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影响因子：
3.4
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3.4
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Delussi M;Gentile E;Coppola G;Prudenzano AMP;Rainero I;Sances G;Abagnale C;Caponnetto V;De Cesaris F;Frattale I;Guaschino E;Marcinnò A;Ornello R;Pistoia F;Putortì A;Roca ME;Roveta F;Lupi C;Trojano M;Pierelli F;Geppetti P;Sacco S;de Tommaso M
通讯作者：
de Tommaso M