Management of headache disorders in the Emergency Department setting

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Elisa PariAlessandro Padovani

Abstract

Headache is a common presenting complaint in the Emergency Department. The aim of this study was to delineate the demographic profile of patients presenting a chief complaint of headache and to assess the application of diagnostic algorithms for the management of these patients. We examined patients admitted to the Spedali Civili Hospital ED between January 2005 and December 2009 who complained of headache not related to trauma and all patients hospitalized for headache in Neurological Clinic, from ED, between January 2008 and December 2009. 7495 patients were examined at ED for headaches. 72 % of patients were discharged, 22 % were admitted. From 2005 to 2009, there was a definite decrease in the rate of hospitalization due to headache (15 vs 9.9 % in Department of Neurology and 26 vs 18.9 % in all Departments). Considering the decrease year by year, this reduction was significant from 2007 to 2008, when the algorithms were adopted. The most common diagnosis in the ED was "Non-specific headache" (41 %), followed by "Primary headaches and complications of primary headaches" (20.8 %), "Secondary headaches not associated with risk of serious disease" (20.4 %) and "Secondary headache associated with risk of serious disease" (5 %)....Continue Reading

References

Jul 5, 2001·Headache·L B MorgensternR F Frankowski
Jun 10, 2004·Headache·Pietro CortelliUNKNOWN Multidisciplinary Group for Nontraumatic Headache in the Emergency Department
May 18, 2007·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·R De SimoneV Bonavita
Feb 17, 2009·Emergency Medicine Clinics of North America·Benjamin Wolkin Friedman, Brian Mitchell Grosberg

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Citations

Jul 6, 2016·Revue neurologique·X MoissetA Donnet
Jan 18, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Ilaria Di Donato, Antonio Federico
Jan 2, 2020·Internal and Emergency Medicine·Maria Adele GiamberardinoPaolo Martelletti
Aug 28, 2021·Acta neurologica Belgica·Antonio GranatoPaolo Manganotti

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