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Published on: June 2, 2014
Pediatric migraine prescription patterns at a large academic hospital
Adriana Johnson1, Jonathan Bickel2, Alyssa Lebel1
1P.A.I.N. Group, Department of Anesthesia, Boston Children's Hospital, Harvard Medical School, Waltham, Massachusetts; Headache Program, Departments of Anesthesia and Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Insights
Pediatric migraine treatment varies, with sumatriptan, amitriptyline, and topiramate being common prescriptions. This study analyzes drug patterns in children to inform future clinical trials for migraine management.
Area of Science:
- Pediatric Neurology
- Clinical Pharmacology
Background:
- Limited outcome studies exist for pediatric migraine treatment, leading to varied physician approaches.
- Prescription patterns for pediatric migraine are not well-documented.
Purpose of the Study:
- To analyze prescription patterns for migraine treatment in pediatric patients.
- To identify common drug types, age, and sex distributions in pediatric migraine patients.
Main Methods:
- Retrospective analysis of 4839 patients aged 2-17 years with migraine at a pediatric hospital over 4 years.
- Data extracted using the i2b2 query tool.
- Analysis of prescription data based on drug type, patient age, and sex.
Main Results:
- The most frequently prescribed medications included sumatriptan, amitriptyline, topiramate, ondansetron, and cyproheptadine.
- The study population comprised 59% females and 41% males.
- Prescription patterns were analyzed across different age groups within the pediatric range.
Conclusions:
- Findings align with recent data on pediatric migraine medication choices.
- Results support the need for further controlled trials in pediatric migraine treatment.
- The study provides a basis for future research into effective pediatric migraine therapies.
Background:
Here we report the prescription patterns by drug type, age, and sex of patients at a large academic pediatric hospital. Because there are few guidelines based on outcome studies in pediatric migraine, physician treatment approaches in children vary.
Methods:
Using the i2b2 query tool, we determined that over an approximately 4 year period, 4839 patients between the ages of 2 and 17 years were observed at Boston Children's Hospital for migraine with or without aura, 59% women and 41% men.
Results:
The most common medications prescribed to this population were sumatriptan, amitriptyline, topiramate, ondansetron, and cyproheptadine.
Conclusions:
Our findings support recent data regarding choices of medication in the pediatric population and additionally support current studies and future investigation into controlled trials in the pediatric population.
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