Study of 50 cases of migraine attending VSGH o'p'd'

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Study of 50 cases of migraine attending VSGH
o.p.d.

• Rachit shah(100)
• Ronak shah(101)
• Ruchit shah(102)
• Under guidance of
• Mrs. Sheetal vyas

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Introduction

• Migraine is a common neurological condition
  affecting 15 of women 6 of men
• It has considerable effect on the quality of life
  of sufferers in terms of direct medical expenses
  indirect due to loss of productivity though it
  doesnt cause any mortality
• It is a disease about which little is known for
  its etiology
• In the current study we have made sincere effort
  to know possible symptoms signs, precipitating
  factors of migraine attack , common treatment
  offered to migraine patients for management of
  acute attack prophylaxis of migraine

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Aims objectives

• To study socio demographic profile of migraine
  patients.
• To study various sign, symptoms ppt factor of
  migraine.
• To study the effect of migraine on routine,
  social official activities.
• To study various drugs used for management of
  migraine prophylaxis.
• To correlate the above findings with various
  socio-demographic variables.

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Materials method

•        Study Area
• Neurology OPD V.S.G.H
•        Study Population
• Migraine pt. attending
  Neurology OPD
•        Sample Size
• Total 50 subjects
•        Sampling Technique
• All patients attending OPD
•        Study period
• May-June 2005

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•   Study Material
• Predesigned pretested performa was used
  for collection of data
• 
  
  
  
•        Study Method
• all the respondents were interviewed with
  the use of performa mention above

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Time line chart
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Resources
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Observation Results
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Socio Demographic Profile of Study Population

• Mean age of study population was 37.24 years with
  std. deviation of 12.65 years co-efficient of
  variance of 33.9
• Majority of respondents were female 28(56)
• Most had education upto primary/secondary 34(68)

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• Majority belong to joint family 27(54)
• 30(60) of respondents were occupied in moderate
  occupation only 9(18) respondents were
  occupied in heavy occupation.
• Majority belong to SES CLASS IV followed by SES
  CLASS III

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• Mean-31.52 years
• S.D.- 12.22 years
• C.V.-38.76

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Distribution of study population as per duration
of migraine in years

• Mean-5.72 yrs.
• S.D.-4.78 yrs.
• C.V.-22.9

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Distribution of study Population as per Symptoms
of migraine
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Distribution of study Population as per
Precipitating (PPT.) Factors of Migraine
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Initial freq. Vs. now

• Frequency has greatly reduced after prophylaxis
  from mean of 4.36 initially to 1.28 now is
  statastically significant (Z4.7 ,Plt0.001)

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Distribution of study population as per
activities affected
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Drugs used for acute attack of migraine
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Drugs used for prophylaxis of migraine
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Compliance to prophylaxis
Mean compliance 54 S.D.-22 C.V.-40
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Age of onset vs. Family history
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(No Transcript)
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Summary Conclusion

•         Mean age of persons suffering from
  migraine is 37.34 12.65 years
•         Mean age of onset of migraine is
  31.52 12.22years
•         Mean duration of migraine is 5.74.4
  years
•         Hunger fatigue were most common
  precipitating factors
•         Social activities were significantly
  reduced due to migraine with Z2.02 P lt0.05
•         Mean duration of prophylaxis is 2.12
  0.83 months
•         Compliance to prophylaxis is 54 22
  

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Recommendation

•   More more patients should receive treatment
  from authorized practitioner rather than using
  over the counter drugs as there was significant
  decline in frequency of migraine due to
  prophylaxis against the cost of just 8026.5
  Rs./mth (prophylaxis is cost effective)
• There is need to improve compliance to
  prophylaxis as it was just 54 with S.D. of
• 22.