The journal of headache and pain · 2018
Survival outcome and mortality rate in patients with migraine: a population-based cohort study.
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Harnod Tomor, Lin Cheng-Li, Kao Chia-Hung
Аннотация
BACKGROUND: Whether the patients with migraine have an elevated mortality risk in Taiwan is unclear.
METHODS: We analyzed a subset of the National Health Insurance Research Database of Taiwan and enrolled patients (≥20 years old) who received a diagnosis of migraine between 2000 and 2012. The migraine cohort was further divided into the ones ever with status migrainosus (SM) and non-status migraine (NM) subcohort and compared with a 1:4 age-, sex-, comorbidity-, and index date-matched comparison cohort. We calculated the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for subsequent mortality risk after adjustment for age, sex, and comorbidities.
RESULTS: Compared with the comparison cohort, the corresponding aHRs for mortality were 0.81 (95% CI = 0.76-0.87), 0.89 (95% CI = 0.80-0.98), and 0.78 (95% CI = 0.72-0.84) in the total migraine, SM, and NM cohorts, respectively. SM, male sex, comorbid alcohol-related illness, depression, and mental disorders were identified as risk factors for subsequent mortality. Comorbid alcohol-related illness significantly increased the mortality risk in patients with migraine.
CONCLUSION: Taiwanese patients with migraine require comprehensive and universal medical care. These patients would benefit from controlling their migraines and reducing the subsequent mortality.
METHODS: We analyzed a subset of the National Health Insurance Research Database of Taiwan and enrolled patients (≥20 years old) who received a diagnosis of migraine between 2000 and 2012. The migraine cohort was further divided into the ones ever with status migrainosus (SM) and non-status migraine (NM) subcohort and compared with a 1:4 age-, sex-, comorbidity-, and index date-matched comparison cohort. We calculated the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for subsequent mortality risk after adjustment for age, sex, and comorbidities.
RESULTS: Compared with the comparison cohort, the corresponding aHRs for mortality were 0.81 (95% CI = 0.76-0.87), 0.89 (95% CI = 0.80-0.98), and 0.78 (95% CI = 0.72-0.84) in the total migraine, SM, and NM cohorts, respectively. SM, male sex, comorbid alcohol-related illness, depression, and mental disorders were identified as risk factors for subsequent mortality. Comorbid alcohol-related illness significantly increased the mortality risk in patients with migraine.
CONCLUSION: Taiwanese patients with migraine require comprehensive and universal medical care. These patients would benefit from controlling their migraines and reducing the subsequent mortality.