title: Migraine in health workers: working in a hospital can be considered an advantage?
abstract: Migraine is the most common form of headache, and is one of the most diffused pathologies in the world. Moreover, patients often lose years before obtaining a correct diagnosis. The aim of this study was to evaluate whether diagnostic delay differs between hospital workers, in theory more sensible to health problems, and common people. We compared our cohort of patients attending the headache center on which we put a diagnosis of migraine with and without aura with a sample of hospital workers investigated about headache presence and characteristics. Particularly, hospital workers were evaluated by ID-migraine test, a three-question test validated to formulate a migraine diagnosis. Continuous variables (age and diagnostic delay) were compared with t test for independent samples. Dichotomous and categorical variables were compared with Chi squared test. The mean difference between in-hospital workers and outpatients was analyzed with a GLM/multivariate model accounting for age and sex. The difference between the single subcategory of workers affected by migraine was explored with a GLM/multivariate model accounting of age and sex. Five hundred and ninety-nine patients affected by migraine with and without aura were enrolled. Demographical characteristics were comparable in the two study populations. In-hospital workers (99 patients) had a mean longer diagnostic delay (14.89 years; 95 % CI: 7.85-21.93 years) with respect to the outpatients (12.13 years; 95 % CI: 5.37-18.89 years). The difference resulted statistically significant at the multivariate model (p < 0.05). Single subpopulations of in-hospital workers did not have a statistically significant different delay in diagnosing migraine. Diagnostic delay was significantly longer in hospital workers with respect to outpatients. Then, we can conclude that our population of hospital workers did not present a particular attention to their headache, probably because of a tendency to self-treating. Moreover, we did not find differences among different typology of workers, underlining that different job experience and education did not contribute to a best management of headache. More information and informative initiatives are necessary to sensitize people about migraine, especially among hospital workers.
authors.affiliation: Neurologic Clinic, Politecnic University of Marche, Via Conca 1, 60020, Ancona, Italy, m.bartolini@univpm.it.
authors.forename: M
authors.initials: M
authors.lastname: Bartolini
authors.forename: G
authors.initials: G
authors.lastname: Viticchi
authors.forename: L
authors.initials: L
authors.lastname: Falsetti
authors.forename: A
authors.initials: A
authors.lastname: Ulissi
authors.forename: M
authors.initials: M
authors.lastname: Baldassari
authors.forename: A
authors.initials: A
authors.lastname: Medori
authors.forename: S
authors.initials: S
authors.lastname: Mattioli
authors.forename: F
authors.initials: F
authors.lastname: Lombardi
authors.forename: L
authors.initials: L
authors.lastname: Provinciali
authors.forename: M
authors.initials: M
authors.lastname: Silvestrini
mesh_terms: D000328:Adult; D000367:Age Factors; D016009:Chi-Square Distribution; D015331:Cohort Studies; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D020325:Migraine with Aura / Q000175:diagnosis* / Q000453:epidemiology*; D020326:Migraine without Aura / Q000175:diagnosis* / Q000453:epidemiology*; D015999:Multivariate Analysis; D010564:Personnel, Hospital; D012737:Sex Factors; D013997:Time Factors