P.006 Barriers and risk factors for emergency room visits vs smartphone app use for migraine in Canada and the United States

A. Portt
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Abstract

Background: Migraine affects more than 1 billion people, with attacks triggered by a variety of factors. Knowledge of environmental triggers for migraine attacks is limited, and has mostly been studied via emergency room (ER) visits. There are significant barriers and delays for attending ER for migraine treatment, which create challenges for estimating causal links to environmental exposures. We assessed whether smartphone app records may have fewer barriers and reduced lags. Methods: American and Canadian participants completed an online survey about their migraine attacks, smartphone app use, and ER visits. Results: Among 308 participants, barriers to visiting ER were similar in both countries, except for financial concerns in the US. About half of participants who attended ER also recorded the attack in a diary or app. Whereas migraine patients often present to ER 7+ days after onset, records in a smartphone app dataset were created within 2 days of onset. Conclusions: Although not all severe migraine attacks are recorded by smartphone users, smartphone app records may have fewer barriers to creation and shorter time lags compared to ER visit records, making them a rich source of data for research on transient neurologic health outcomes and environmental exposures.
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P.006 加拿大和美国偏头痛患者看急诊的障碍和风险因素与使用智能手机应用程序的对比
背景:偏头痛影响着 10 多亿人,发作的诱因多种多样。人们对偏头痛发作的环境诱因了解有限,而且大多通过急诊室就诊进行研究。到急诊室接受偏头痛治疗存在很大的障碍和延误,这给估算环境暴露的因果关系带来了挑战。我们评估了智能手机应用记录是否会减少障碍和延迟。方法:美国和加拿大的参与者完成了一项关于偏头痛发作、智能手机应用使用和急诊就诊的在线调查。结果在 308 名参与者中,除了美国的经济问题外,两国患者到急诊室就诊的障碍相似。约半数到急诊室就诊的参与者还在日记或应用程序中记录了发作情况。偏头痛患者通常在发病7天以上才到急诊室就诊,而智能手机应用程序数据集中的记录是在发病2天内创建的。结论:虽然并非所有严重偏头痛发作都会被智能手机用户记录下来,但与急诊室就诊记录相比,智能手机应用程序记录的创建障碍可能更少,时间滞后也更短,因此是研究瞬时神经系统健康结果和环境暴露的丰富数据来源。
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