% 0期刊文章%一个朱莉安娜h . VanderPluym % 8月Mangipudi %一个Amir阿卜杜拉Mbonde %大卫Gritsch % Edoardo Caronna % B Rashmi。辛格Halker %乔纳森·h·史密斯理查德·j·巴特菲尔德% % T状态Migrainosus发病率在奥姆斯特德县,明尼苏达州,美国% B描述和预测复发% D R 10.1212 / WNL 2023%。0000000000201382 % J首页神经病学% P e255-e263 % V 100% N 3% X背景和目标SM是公认的并发症的偏头痛疼痛和/或相关的症状是不懈和衰弱了超过72小时。SM在普通人群的流行病学是未知的。本研究的目的是确定的发病率、复发率、和临床状态migrainosus协会(SM)求医奥姆斯特德县的居民,明尼苏达州。罗彻斯特流行病学项目方法被用来确定SM的事件情况下根据国际分类头痛疾患,第三版标准和基于第一physician-encountered情况记录。事件病例的临床特点抽象的医疗记录。一年期recurrence-free生存是评估和临床相关的组之间相比,包括基线人口统计学、偏头痛特点,和治疗风险。结果在2012年1月1日,12月31日,2017年,237年事件例SM。中位数年龄为35(差26-47)年,和210年(88.6%)是女性。慢性偏头痛的历史记录在82/226(36.3%)和历史的光环在76/213 (35.7%)。当时事件的情况下,药物和解包括曲普坦或麦角胺127/233(53.6%)和/或opioid-containing镇痛在43/233 (18.5%)。整个时代,sex-adjusted发病率是26.60每100000名(95%置信区间,23.21 - -29.97),与年龄在40 - 49岁之间发病高峰。 The median (95% CI) attack duration was 5 (4.48–5.42) days. The most frequent triggers were stress (40/237, 16.9%) and too much or too little sleep (27/237, 11.4%). Recurrence occurred in 35/237 (14.8%) at a median of 58 (IQR 23–130) days following the initial attack. In our age- and sex-adjusted multivariable model, too much or too little sleep as a trigger was associated with 12-month risk of recurrence (adjusted OR 3.59 [95% CI 1.58–8.14], p = 0.0022).Discussion Our study provides a population-based estimate of SM incidence. We identified aberrant sleep patterns as a potentially modifiable risk factor for 1-year SM recurrence.ICD-9=International Classification of Diseases, Ninth Revision; ICD-10=International Statistical Classification of Diseases, Tenth Revision; ICHD-3=International Classification of Headache Disorders, Third Edition; NFPH=new daily persistent headache; REP=Rochester Epidemiology Project; SM=status migrainosus %U //www.ez-admanager.com/content/neurology/100/3/e255.full.pdf