Practice variation after implementation of a protocol for migraines in children

被引：4

作者：

Trottier, Evelyne D. ^{[2
]}

Bailey, Benoit ^{[1
,2
]}

Dauphin-Pierre, Sabine ^{[2
]}

Doray, Jean-Pierre ^{[2
]}

Dusseault, Marilyn ^{[2
]}

Gravel, Jocelyn ^{[2
]}

机构：

[1] Univ Montreal, Dept Pediat, CHU Ste Justine, Div Clin Pharmacol & Toxicol, Montreal, PQ H3T 1C5, Canada

[2] Univ Montreal, Div Emergency Med, Montreal, PQ H3T 1C5, Canada

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2010年 / 17卷 / 05期

关键词：

clinical protocols; migraine; practice patterns; EMERGENCY-DEPARTMENT; ADOLESCENTS; GUIDELINES; MANAGEMENT; HEADACHE; ADULTS;

D O I：

10.1097/MEJ.0b013e3283321162

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The objective of this study was to evaluate the changes that occurred in the treatment of migraine over a 10-year period in a pediatric emergency department (ED) after the implementation of a protocol. The method employed was a comparative retrospective chart review of children diagnosed with migraine in an ED. The two study periods were 1996-1997, and 2006-2007. A protocol suggesting a specific approach was implemented in the ED in 1999. The primary outcome was the medications used in the ED. There were 182 visits for migraine in 2006-2007 compared with 144 visits in 1996-1997. More patients were treated in the ED in 2006-2007 compared with 1996-1997: 50 versus 30%, a difference of 20% (95% confidence interval: 9, 30). The treatments used were also different. In conclusion, a variation in the treatment of migraine was observed over a 10-year period in a pediatric ED after the implementation of a treatment protocol. European Journal of Emergency Medicine 17: 290-292 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.

引用

页码：290 / 292

页数：3

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