@Article{duepublico_mods_00071865, author = {Platzbecker, Katharina and Zhang, Megan Behua and Kurth, Tobias and Rudolph, Maira Isabella and Eikermann-Haerter, Katharina and Burstein, Rami and Eikermann, Matthias and Houle, Timothy}, title = {association between migraine and hospital readmission due to pain after surgery: a hospital registry study}, year = {2018}, month = {Jul}, day = {08}, keywords = {Migraine; hospital readmission; pain; perioperative; surgery}, abstract = {Background: Migraine has been identified as a risk factor of 30-day hospital readmission after surgery. We aimed to further characterize this association examining pain as a potentially migraine-associated, preventable reason for readmission. Hypothesis: Compared to patients with no migraine, surgical patients with migraine are at increased risk of 30-day hospital readmission with an admitting diagnosis specifying pain. Methods: This hospital registry study examined 150,710 patients aged 18 years and above, who underwent surgery with general anesthesia and mechanical ventilation between 2007 and 2015 at a tertiary care center and two affiliated community hospitals in Massachusetts, USA. Results: Migraine was associated with an increased risk of 30-day pain-related readmission after surgery (adjusted odds ratio 1.42 [95{\%} confidence interval 1.15--1.75]). The association was stronger for migraine with aura (compared to migraine without aura: Adjusted odds ratio 1.69 [95{\%} confidence interval 1.06--2.70]; compared to no migraine: Adjusted odds ratio 2.20 [95{\%} confidence interval 1.44--3.37]). The predicted adjusted risk of pain-related 30-day readmissions was 9.1 [95{\%} confidence interval 5.3--13.0] in 1000 surgical patients with migraine with aura and 5.4 [95{\%} confidence interval 4.2--6.6] in 1000 patients with migraine without aura, compared to 4.2 [95{\%} confidence interval 3.8--4.5] in 1000 patients with no migraine. Furthermore, migraine was associated with an increased risk of postsurgical 30-day readmission due to a priori defined migraine-related pain (headache or abdominal pain) (adjusted odds ratio 1.55 [95{\%} confidence interval 1.20--2.00]). Conclusion: Patients with migraine undergoing surgery are at increased risk of 30-day hospital readmission due to pain.}, note = {deepgreen SAGE}, note = {Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-gef{\"o}rderten) Allianz- bzw. Nationallizenz frei zug{\"a}nglich. <hr />This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.}, note = {<p>Platzbecker, K., Zhang, M. B., Kurth, T., Rudolph, M. I., Eikermann-Haerter, K., Burstein, R., Eikermann, M., {\&}amp; Houle, T. (2019). The association between migraine and hospital readmission due to pain after surgery: A hospital registry study. <em>Cephalalgia</em>, 39(2), 286--295. <a href="https://doi.org/10.1177{\%}2F0333102418786457">https://doi.org/10.1177/0333102418786457</a></p> <p>Article first published online: July 8, 2018</p> <p>{\&}{\#}xa0;</p>}, doi = {10.1177/0333102418786457}, url = {https://duepublico2.uni-due.de/receive/duepublico_mods_00071865}, url = {https://doi.org/10.1177/0333102418786457}, file = {:https://duepublico2.uni-due.de/servlets/MCRFileNodeServlet/duepublico_derivate_00071695/Platzbecker_et_al_Association_migraine_hospital_readmission.pdf:PDF}, language = {en} }