{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T05:51:01Z","timestamp":1768715461057,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study describes the approaches, medications used, and time of care for migraineurs, who have been in emergency departments (ED) from 2 different regions of Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, cross\u2010sectional, observational, non\u2010randomized study of migraine patients seen at 2 headache centers in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty\u2010four migraine patients (15 men and 69 women) were divided into 2 groups: chronic (19%, n\u00a0=\u00a016) and episodic migraineurs (81%, n\u00a0=\u00a068). In the ED, medications were used in the following order of frequency: dipyrone or metamizole (89.3%, 75\/84), nonsteroidal anti\u2010inflammatory drugs (57.1%; 48\/84) opioids (51.1%; 43\/84), metoclopramide (29.8%; 25\/84), dexamethasone (28.6%; 24\/84), chlorpromazine (13.1%; 11\/84), and subcutaneous sumatriptan (7.1%; 6\/84). The average time in the care center was 8.2\u00a0hours, but only 23 patients (27.4%) left the hospital with greater than 50% relief in headache severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dipyrone and nonsteroidal anti\u2010inflammatories were the most used drugs, but nearly half received opioids. More efficient drugs were poorly used. Considering the number of patients leaving the hospital with headache relief, a changing treatment paradigm should be carried out in Brazil.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13999","type":"journal-article","created":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T11:01:15Z","timestamp":1603796475000},"page":"2413-2420","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Migraine Treatment in Emergency Departments of Brazil: A Retrospective Study of 2 Regions"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8164-3507","authenticated-orcid":false,"given":"Abouch","family":"Krymchantowski","sequence":"first","affiliation":[{"name":"Department of Neurology Headache Center of Rio Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Jevoux","sequence":"additional","affiliation":[{"name":"Department of Neurology Headache Center of Rio Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raimundo Pereira","family":"Silva\u2010N\u00e9to","sequence":"additional","affiliation":[{"name":"Center of Neurology and Headache of Piau\u00ed Universidade Federal do Delta do Parna\u00edba Teresina Piau\u00ed Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Gabriela","family":"Krymchantowski","sequence":"additional","affiliation":[{"name":"Department of Neurology Headache Center of Rio Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2001.041007646.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12074"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13202"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2008.01156.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-282X1999000500013"},{"issue":"1","key":"e_1_2_6_7_1","article-title":"Emergency treatment of migraine in Rio\u2019s private hospitals: A retrospective study","volume":"76","author":"Krymchantowski AV","year":"2018","journal-title":"Arq Neuropsiquiatr"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12513"},{"key":"e_1_2_6_9_1","article-title":"Emergency treatment of migraine at Rio de Janeiro. 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