Obtain clinical information from headache patients to improve the management of headache patients at Bangkok Hospital Medical Center (BMC).
Patients who visited the Comprehensive Headache Clinic at BMC from March to June 2013 were enrolled in this study. The follow-up period is 14 weeks, divided into 5 visits. At the first visit, patients complete an initial assessment questionnaire including rating migraine disability, headache frequency and pain score. The diagnosis by our physicians is documented. The patient receives information about headaches and a treatment plan is discussed. The patients’ symptoms and any side effects are assessed from the 2nd to the 5th visits. This information, and any issues arising from taking medication, is evaluated to improve patient care delivered by the Comprehensive Headache Clinic.
Seventy patients were enrolled in the registry program. Eighty percent of the patients were female, with an average age of 36 ± 11 years. Migraine headache was the most common diagnosis (68.6%). Triptans were most commonly used for acute medication in 59% of the patients. Antiepileptics were most commonly prescribed as prophylactic treatment in 48% of patients. Patients with chronic migraine came in for follow up visits more regularly than patients with episodic headaches (100% vs. 71.1% on the 2nd visit, 100% vs. 65% on the 3rd visit, 100% vs. 11.1% on the 4th visit, and 94.7%, 0% on the 5th visit). The average pain score (NRS) dropped from 7 to 3 and the average headache frequency dropped from 3 to 2 times per week. These clinical outcomes showed a statistically significant improvement in patient quality of life.
The Headache Registry Program demonstrates a good adherence and compliance to treatment along with a significant reduction in the severity and frequency of headaches.