Sociodemographic Factors Associated with Hospital Care for Pediatric Migraine- a National Study Using the Kids Inpatient Dataset

Publication date: Available online 1 February 2018
Source:Pediatric Neurology
Author(s): Ana Recober, Payal B. Patel, Dylan P. Thibault, Andrew W. Hill, Eric A. Kaiser, Allison. W. Willis
ImportanceAlthough migraine often starts in childhood or adolescence, hospital care for migraine in children is not well described.ObjectiveTo examine patient and hospital characteristics associated with hospital care for migraine among children in the United States.Design, Setting, ParticipantsThe study involved a retrospective cross sectional study of the Kids' Inpatient Database and included children between the ages of 3 and 20 admitted for migraine to a participating hospital in 2003, 2006 or 2009. Sociodemographic and hospital characteristics were compared between hospitalizations for migraine and for other common medical conditions. Regression analyses examined patient, hospital, and socioeconomic characteristics associated with inpatient care for pediatric migraine.ResultsWe identified 11,696 hospitalizations for pediatric migraine, with the majority (68.7%) occurring at teaching hospitals. Migraine inpatients differed significantly from children hospitalized for asthma, appendicitis, mood disorders, and epilepsy with respect to demographic, primary payer, and socioeconomic characteristics. The mean age of children hospitalized with migraine was 14.6 (SD 0.07) years; 71% were between the ages of 13 and 20. Compared to the overall inpatient sample, hospitalizations for migraines were less likely to involve children who were Black (AOR: 0.54, 95% CI 0.49-0.60), Hispanic (AOR=0.58, 95% CI: 0.50-0.68) or Asian (AOR=0.42, 95% CI: 0.32-0.55) and more likely to involve females (AOR: 1.49, 95% CI 1.40-1.59). Migraine inpatients were also more likely to live in higher income zip codes (versus lowest zip code income quartile: AOR: 1.32, 95% CI 1.18-1.48). Mean length of stay, however, varied by less than one day across sociodemographic variables.Conclusions and RelevanceChildren who are hospitalized for migraines have distinct sociodemographic characteristics, but nearly uniform hospitalization duration. Understanding the reasons for these variations will inform the design of interventions aimed at reducing the need for pediatric migraine hospitalization.



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