Evidence map›Paper›PMID 42338281›Full record

Observational studyDevelopmental medicine and child neurology2026

Patient- and parent-reported triggers of migraine attacks in children and adolescents.

Ehab Zahran, Mas Ahmed

Abstract readObservational Study
In one paragraph

Observational study in Developmental medicine and child neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ehab ZahranPaediatric Department, Queen's Hospital, London, UK.ORCID https://orcid.org/0000-0002-0597-8054
Mas AhmedPaediatric Department, Queen's Hospital, London, UK.ORCID https://orcid.org/0000-0002-4210-8998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify triggers of migraine attacks among children and young people as reported by the patients and/or their parents.

methodThis was an observational, cohort, hospital-based clinical study. The study population included 1487 patients (827 females; age range = 5-17 years) with migraine who were referred to our paediatric headache clinic. Specific enquiry was made about triggers that often or always provoke acute migraine attacks. Diagnosis of migraine was based on the International Classification of Headache Disorders Third Edition, beta version.

resultsTriggers of migraine were reported by 568 out of 1487 (38%) migraineurs. Patients reported one trigger (404/568, 71%), two (118/568, 21%), and three or more (46/568, 7%). Environmental factors were the most common trigger categories (424/568, 75%). Common specific triggers included stress (142/568, 25%), loud noise (140/568, 25%), light (135/568, 24%), and inadequate fluid intake (117/568, 20%). A total of 309 out of 568 (54.5%) patients reported that school was the only source of migraine triggers.

interpretationTriggers of migraine attacks are common among children and adolescents. Identifying such triggers in migraineurs could potentially be a step forward in their successful treatment and improved quality of life.

Indexed as

Migraine DisordersParentsAdolescentChildChild, PreschoolCohort StudiesFemaleHumansMaleStress, Psychological

Identifiers

PMID42338281
PMCPMC13545497

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.