{"id":8216,"date":"2017-04-24T09:20:47","date_gmt":"2017-04-24T07:20:47","guid":{"rendered":"http:\/\/eestiarst.ee\/en\/?p=8216"},"modified":"2017-04-24T09:20:47","modified_gmt":"2017-04-24T07:20:47","slug":"emergency-pre-hospital-care-and-profile-of-patients-treated-for-migraine","status":"publish","type":"post","link":"https:\/\/eestiarst.ee\/en\/emergency-pre-hospital-care-and-profile-of-patients-treated-for-migraine\/","title":{"rendered":"Emergency pre-hospital care and profile of patients treated for migraine"},"content":{"rendered":"<p><strong>Background and aim.<\/strong> Migraine is the most common and socio-economically costly neurological disease. It is a debilitating disorder. The main aim of this study was to review how two of the largest ambulance service providers in Estonia manage migraine in the pre-hospital setting. The second aim was to obtain an overview of the patients requiring ambulance services due to headache.<\/p>\n<p><strong>Methods.<\/strong> This is a retrospective cohort study involving ambulance visits with the leading documented diagnoses of migraine made between 1 July and 31 December 2014 by the Tallinn Emergency Service and the Tartu Ambulance Foundation.<\/p>\n<p><strong>Results.<\/strong> Among the patients, 44% treated by the Tartu Ambulance Foundation and 14% treated by the Tallinn Emergency Service had not taken any medications to treat their symptoms prior to calling an ambulance (p &lt; 0.001). Only 9% had taken triptanes. The most significant difference between two ambulance providers occurred in the mode of administrating drugs. The medics of the Tartu Ambulance Foundation administered 80% (n = 94) of the drugs intramuscularly and 22% intravenously (n = 26). The respective indicators for the Tallinn Emergency Service were 20% (n = 28) and 86% (n = 118) (p &lt; 0.001). Opioids, more precisely tramadol, was administered in 50 cases altogether, which accounts for 19.6%.<\/p>\n<p><strong>Conclusion.<\/strong> The theoretical knowledge of the diagnostic criteria and evidence-based treatment of migraine needs to be improved and adjusted among ambulance workers in order to provide better pre-hospital care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background and aim. Migraine is the most common and socio-economically costly neurological disease. It is a debilitating disorder. The main aim of this study was to review how two of the largest ambulance service providers in Estonia manage migraine in the pre-hospital setting. The second aim was to obtain an overview of the patients requiring &#8230;<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[1540],"class_list":["post-8216","post","type-post","status-publish","format-standard","hentry","category-articles","tag-research"],"acf":[],"_links":{"self":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/8216","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/comments?post=8216"}],"version-history":[{"count":1,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/8216\/revisions"}],"predecessor-version":[{"id":8217,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/8216\/revisions\/8217"}],"wp:attachment":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/media?parent=8216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/categories?post=8216"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/tags?post=8216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}