title: Treatment of pediatric status migrainosus: can we prevent the "bounce back"?
abstract: The impact of treatment given upon discharge on the "bounce back" rate was ascertained in children presenting at the emergency department for treatment of status migrainosus. All children ages 8 to 17 years old presenting to an emergency department in 2008 who were treated for status migrainosus and discharged home were included. Of the total of 187 patients, 21 patients (11.2%) bounced back. Treatment given was not associated with the bounce back rate. The only factors reaching significance were the presence of a migraine equivalent in 28.6% of patients who bounced back as compared with only 6.7% in patients without recurrence (P = .006); brain imaging study in the emergency department (52.4% vs. 16.9%, P = .001); and an arranged physician follow-up (66.6% vs. 36.3%, P = .01). The results appear to suggest that no current treatment given to children presenting to the emergency department with status migrainosus seems to alter the immediate recurrence rate.
authors.affiliation: Department of Neurology/Neurosurgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Legault
authors.forename: Harley
authors.initials: H
authors.lastname: Eisman
authors.forename: Michael I
authors.initials: MI
authors.lastname: Shevell
mesh_terms: D000293:Adolescent; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000628:therapy*; D010351:Patient Discharge; D012307:Risk Factors; D055502:Secondary Prevention; D016896:Treatment Outcome