Migraine Attack Related to Shift Work in Emergency Residents at Riyadh, Saudi Arabia Hospitals – Cross-Sectional Study
Abstract
Background: Migraine prevalence is rising globally, with shift work identified as a key risk factor. Emergency residents face demanding schedules, yet data on migraine burden in Saudi Arabia's healthcare workforce remain scarce.
Aim: To assess migraine prevalence and shift work-related factors among emergency residents in Riyadh, Saudi Arabia.
Methods: A cross-sectional study enrolled 376 emergency residents. A validated questionnaire and Migraine Disability Assessment Test (MIDAS) were used. Statistical analysis included Mann-Whitney U and Kruskal-Wallis H tests.
Results: Out of 376 emergency medicine residents surveyed across Riyadh hospitals, 34.3% were diagnosed with migraines, and 44.1% reported a family history. Frequent headache episodes (3-6/month) were experienced by 43.4% of participants, with 34.0% reporting headaches lasting from 5 to 10 minutes. Throbbing or pulsating headaches (56.4%) and one-sided headache locations (50.5%) were the predominant clinical features. Photophobia, phonophobia, nausea, and vomiting were reported by 43.4%, 47.3%, 46.0%, and 38.0%, respectively. Common triggers included sleep disturbances (53.5%), strong smells (33.8%), and lights (33.8%). The median MIDAS score was 7 (IQR: 8), with only 17.3% experiencing severe migraine-related disability. Disability was significantly higher among females, those ≥35 years old, non-Saudi residents, those divorced/widowed, and residents with ≥3 years of experience.
Conclusion: Over one-third of…
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