Background:

The ongoing COVID-19 pandemic and the lockdown measures have forced clinicians across the world to look on telemedicine. Although migraine as such seems an ideal option for telemedicine, a systematic study reviewing feasibility, efficacy, and advantages of current advanced telecommunication technologies in children with migraine is lacking.

Methods:

Clinical details of telephonic consultations performed between March 25 and June 4, 2020, including migraine characteristics, analgesic/prophylactic drug regimens, headache frequency/severity/disability, compliance, drug-related/unrelated adverse effects and unavailability of drugs were recorded. Suitable change in the dose/commercial brand of drug regimen and the addition of new drugs were done as required. Voice call, text messages, picture/video messages, and all other possible measures were used to accumulate maximum clinical information in real time. Unless contacted for trivial reasons, most children were later followed up telephonically to ensure health care concern was resolved and to fill up one 6-item trichotomous quality control questionnaire.

Results:

A total of 146 telephone consultations were performed in 51 participants. Thirty-six patients were identified to have 42 significant clinical events (worsening clinical status/partial response to medications [18; 44%], drug-related adverse effects [10; 19%], unrelated systemic complaints [7; 13%], and worsening of headache due to stress/triggers [7; 13%]). In the rest of the patients, the query of the caregiver included concern regarding COVID-19–related symptoms. Twenty-nine children required increment in drug dose or addition of new drug or commercial brand. Around 90% of caregivers were satisfied with the quality of teleconsultation.

Conclusion:

Teleconsultation is a feasible and efficacious option, with excellent caregiver satisfaction for children with migraine.

中文翻译：

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正在进行的COVID-19大流行期间偏头痛儿童和青少年的远程咨询服务的照顾者满意度和有效性

背景：

正在进行中的COVID-19大流行和封锁措施已迫使世界各地的临床医生寻求远程医疗。尽管偏头痛本身似乎是远程医疗的理想选择，但仍缺乏一项系统的研究来回顾当前偏头痛儿童的先进电信技术的可行性，有效性和优势。

方法：

记录了2020年3月25日至6月4日进行的电话咨询的临床细节，包括偏头痛特征，止痛/预防性药物治疗，头痛频率/严重性/残疾，依从性，与药物相关/无关的不良反应和药物的缺乏。根据需要对药物方案的剂量/商业品牌进行了适当的更改，并添加了新药。语音呼叫，文本消息，图片/视频消息以及所有其他可能的措施都用于实时积累最大的临床信息。除非出于琐碎的原因与他们联系，否则大多数儿童随后都会进行电话随访，以确保解决医疗保健问题并填写一份6项三项式质量控制调查表。

结果：

在51位参与者中进行了146次电话咨询。识别出36例患者具有42项重大临床事件（恶化的临床状况/对药物的部分反应[18; 44％]，药物相关的不良反应[10; 19％]，无关的全身性疾病[7; 13％]，以及因压力/触发而使头痛恶化[7; 13％]）。在其余患者中，护理人员的查询包括对COVID-19相关症状的担忧。29名儿童需要增加药物剂量或添加新药或商业品牌。大约90％的护理人员对远程会诊的质量感到满意。

结论：

远程会诊是一种可行且有效的选择，偏头痛儿童的照料者满意度很高。