التفاصيل البيبلوغرافية
| العنوان: |
Caffeine discontinuation improves acute migraine treatment: a prospective clinic-based study. |
| المؤلفون: |
Lee, Mi, Choi, Hyun, Choi, Hanna, Chung, Chin-Sang |
| المصدر: |
Journal of Headache & Pain; 8/5/2016, Vol. 17 Issue 1, p1-6, 6p |
| مصطلحات موضوعية: |
CAFFEINE, CHI-squared test, CONFIDENCE intervals, FISHER exact test, LONGITUDINAL method, MIGRAINE, QUESTIONNAIRES, REGRESSION analysis, RESEARCH funding, T-test (Statistics), DATA analysis software, DESCRIPTIVE statistics, ODDS ratio |
| مصطلحات جغرافية: |
SOUTH Korea |
| مستخلص: |
Background: Caffeine has both excitatory and vasoconstrictive effects on central nervous system. Caffeine use might be associated with development and chronification of migraine. We aimed to evaluate the effect of caffeine cessation on the acute treatment of migraine. Methods: We prospectively recruited migraine patients who consumed caffeine drinks daily and instructed them to discontinue their caffeine intake. Triptans were prescribed for acute treatment. Patients were followed up after at least two weeks after screening and evaluated the efficacy of acute treatment with the migraine assessment of current therapy (Migraine-ACT) questionnaire. Excellent efficacy was defined as Migraine-ACT score of 4. Chronic migraine, body mass index, allodynia, depression, anxiety, antiemetic use, and use of prophylactic medication were included in the multivariate analysis if the univariate p < 0.2. Findings: Among 108 patients included, 36 completely discontinued their caffeine intake (abstinence group). The efficacy of acute treatment was assessed at median 34.5 days (interquartile range, 28-89) after the screening. Twenty-six patients (72.2 %) in the abstinence group and 29 (40.3 %) in the non-abstinence group reported an excellent efficacy ( p = 0.002). The abstinence group also showed a trend toward greater reduction of headache impact test-6 (HIT-6) scores ( p = 0.085). Caffeine abstinence was independently associated with an excellent efficacy of acute treatment (multivariate odds ratio, 3.2; 95 % confidence interval, 1.2-8.4; p = 0.018) after controlling for covariates. Conclusions: Caffeine abstinence is associated with better efficacy of acute migraine treatment. Our uncontrolled study results encourage a further confirmatory study on this issue. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Headache & Pain is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder