• Emerg Med Australas · Oct 2019

    Observational Study

    Sub-optimal treatment of paediatric migraine in an emergency department: An observational study.

    • Sharon Klim, David Krieser, and Anne-Maree Kelly.
    • Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2019 Oct 1; 31 (5): 879-881.

    ObjectivesTo describe treatment of children presenting to an Australian ED with a final ED diagnosis of migraine.MethodsPlanned substudy of a retrospective cohort study of the epidemiology of headache in children was done. Primary outcome of interest was treatment administered in the ED.ResultsThirty-five children were studied. The most commonly used medications were non-steroidal anti-inflammatory drugs, paracetamol and ondansetron. Specific antimigraine therapy was used uncommonly. Fourteen percent of children received an opiate.ConclusionTreatment of migraine in children was not consistent with the available evidence regarding agents' relative effectiveness. The use of opiates is concerningly high.© 2019 Australasian College for Emergency Medicine.

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