title: [Migraine and MIDAS (MIDASELA) in Colombian hospital workers].
abstract: OBJECTIVE
  The aim of this study was to determine the prevalence of migraine and its implications in the occupational and outside employment/daily activities of the workers at a regional hospital in the Cundiboyacense Plateau in Colombia.
  
  
  METHODS
  The available members of the house staff at this institution were interviewed by applying the neuroepidemiological protocol drawn up by the World Health Organization (WHO); general doctors performed the initial screening and the determination of neurological disease was carried out by a clinical neurologist, both in patients who were positive and negative for neurological disease. Quality of life was evaluated by means of the MIDAS (Migraine Disability Assessment) survey, MIDASELA (in Spanish for Latin America); the analysis was performed using the EPI 6.04 software application.
  
  
  RESULTS
  A total of 238 people were studied: 188 females and 50 males; the prevalence of migraine was 22.5% (15.5% by the WHO protocol and 7% false negatives), with predominance in females (OR: 5.49; p< 0.005). In the MIDASELA questionnaire, 47.2% of the patients had a 50% alteration in their productivity, with regard to their occupational and outside employment/daily activities. A minimum number of patients (3.8%) were unable to work because of migraine, as compared to the figures for outside employment/daily activities (29.7%) or those involving leisure/family (66.4%). The average work, outside employment/daily and family time lost per patient because of migraine was 0.3, 2 and 5.2 days, respectively.
  
  
  CONCLUSIONS
  A sub register in the prevalence of migraine could be reported in places where the WHO protocol is used. This pathology will have to be taken well into account in Colombian hospital workers due to its individual, occupational, family, social and economic impact. It is necessary to introduce health policies and programmes aimed at evaluating, controlling and treating this type of pathology in an appropriate manner, in order to improve the quality of life of those whose job it is to look after and improve that of the other Colombians.
authors.affiliation: Facultad de Salud. UIS-Universidad Industrial de Santander, Bucaramanga, USA. leonf@ninds.nih.gov
authors.forename: F E
authors.initials: FE
authors.lastname: León-Sarmiento
authors.forename: M
authors.initials: M
authors.lastname: Martínez
authors.forename: I
authors.initials: I
authors.lastname: García
authors.forename: L J
authors.initials: LJ
authors.lastname: Prada
authors.forename: C I
authors.initials: CI
authors.lastname: Gutiérrez
authors.forename: C
authors.initials: C
authors.lastname: Avila
authors.forename: A
authors.initials: A
authors.lastname: Garavito
authors.forename: L E
authors.initials: LE
authors.lastname: Guzmán
authors.forename: J I
authors.initials: JI
authors.lastname: Arévalo
authors.forename: H A
authors.initials: HA
authors.lastname: Miller
authors.forename: P
authors.initials: P
authors.lastname: Caro
authors.forename: Y
authors.initials: Y
authors.lastname: Millán
authors.forename: J M
authors.initials: JM
authors.lastname: Rodríguez
authors.forename: L F
authors.initials: LF
authors.lastname: Neira
authors.forename: P
authors.initials: P
authors.lastname: Guzmán
authors.forename: O
authors.initials: O
authors.lastname: Gonzales
authors.forename: J
authors.initials: J
authors.lastname: Ospina
authors.forename: S
authors.initials: S
authors.lastname: Zerrate
authors.forename: M P
authors.initials: MP
authors.lastname: Becerra
authors.forename: C
authors.initials: C
authors.lastname: Molina
authors.forename: C
authors.initials: C
authors.lastname: Rodríguez
authors.forename: D M
authors.initials: DM
authors.lastname: Pinzón
authors.forename: J
authors.initials: J
authors.lastname: Millán-Real
authors.forename: J
authors.initials: J
authors.lastname: Ramírez
mesh_terms: D000328:Adult; D003105:Colombia; D004526:Efficiency; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology*; D009790:Occupations; D010564:Personnel, Hospital; D011788:Quality of Life; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014944:World Health Organization