In the pediatric ED, non-Hispanic Black and Hispanic/Latino children who presented with headache were significantly less likely to be diagnosed with migraine and to undergo diagnostic testing compared to non-Hispanic White children.
In a retrospective study in which researchers evaluated data from 49 pediatric EDs across the US, White children were twice as likely to leave the ED after having been diagnosed with migraine than their Black and Hispanic/Latino counterparts, and they were also more likely to undergo brain imaging and other tests.
Being misdiagnosed and mismanaged in the ED can have negative effects with regard to appropriate treatment, Kellier said. The analysis showed that 45.5% of White children in the cohort were diagnosed with migraine, compared with 28.4% of Black and 28.5% of Hispanic/Latino children . However, Black and Hispanic Latino children were more likely to receive oral medications only and were more likely not to receive IV medications compared to White children, Kellier reported.The potential mismanagement could have an adverse domino effect, headache specialists agree."We know from Richard Lipton's work that only 20% of patients with episodic migraine and only around 5% of patients with chronic migraine receive adequate treatment," Noah L.
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