Abstract
The management of acute pediatric migraine headaches in the pediatric emergency department (ED) and in a mixed pediatric and adult ED was compared at the University of Alberta, Edmonton, Canada.
Highlights
The management of acute pediatric migraine headaches in the pediatric emergency department (ED) and in a mixed pediatric and adult ED was compared at the University of Alberta, Edmonton, Canada
The pediatric ED was more likely to prescribe a dopamine antagonist (12.9% vs 6.8%; P=0.044) while the mixed adult/pediatric EDs were significantly more likely to prescribe an opiate (28.1% vs 18.4%; P=0.031)
Documentation of headache outcome was poor, but better in pediatric EDs compared with adult EDs (22.1% vs 13.6%)
Summary
The management of acute pediatric migraine headaches in the pediatric emergency department (ED) and in a mixed pediatric and adult ED was compared at the University of Alberta, Edmonton, Canada. Of 382 patients identified with headache, aged 5 to 17 years, in 4 regional EDs during the 2003/2004 fiscal year, 186 (48.7%) met criteria for migraine. Simple oral analgesics in 20.7% and dopamine antagonists (metoclopramide and prochlorperazine) in 20.7% were prescribed first-line most commonly.
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