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Published on: June 2, 2014
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Predictors of Prolonged Hospital Stay in Status Migrainosus
S Y Modi1, D Dharaiya1, A M Katramados1
1Department of Neurology, Henry Ford Hospital, Detroit, MI, USA.
The Neurohospitalist
|October 4, 2016
Summary
Prolonged hospital stays for status migrainosus are linked to female gender, African American race, mood disorders, obesity, opioid abuse, congestive heart failure, and chronic renal failure. Identifying these factors can help reduce patient hospitalization duration.
Area of Science:
- Neurology
- Health Services Research
Background:
- Status migrainosus frequently necessitates inpatient admission due to severe headaches.
- Prolonged hospitalization is common, often due to inadequate headache management.
- Limited large-scale studies exist on factors influencing prolonged length of stay (pLOS) in status migrainosus.
Purpose of the Study:
- To identify demographic, clinical, and comorbidity factors associated with prolonged length of stay (pLOS) in patients hospitalized with status migrainosus.
Main Methods:
- Analysis of the Nationwide Inpatient Sample database.
- Inclusion of 4325 patients diagnosed with status migrainosus.
- Definition of pLOS as length of stay > 6 days (90th percentile).
- Multivariable logistic regression to determine predictors of pLOS.
Main Results:
- 402 patients experienced pLOS.
- Significant independent predictors of pLOS included female gender, African American race, mood disorder, obesity, opioid abuse, congestive heart failure, and chronic renal failure.
- Median hospitalization cost was $3829.
Conclusions:
- Several factors are associated with pLOS in status migrainosus.
- Identified factors largely align with those increasing migraine prevalence and severity generally.
- Awareness of these factors can aid early intervention to shorten hospital stays.
