Emergency medicine Australasia : EMA · 2025
What Proportion of Emergency Department Headache Patients With Normal Neurology Have a Serious Secondary Headache Cause? A HEAD Study Report.
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Kelly Anne Maree, Chu Kevin H, Kuan Win Sen, Keijzers Gerben, Kinnear Frances B, Cardozo-Ocampo Alejandro, HEAD Study and HEAD Colombia Investigators
Аннотация
OBJECTIVES: To estimate the proportion of Emergency Department (ED) headache patients without neurological features who are diagnosed with a serious secondary headache cause.
METHODS: Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Patients without a known history of cerebral conditions and with a normal neurological assessment were included. The outcome of interest was the proportion of patients diagnosed with a serious secondary headache cause.
RESULTS: One hundred ninety-one patients were diagnosed with a serious secondary headache cause (191/3951, 4.8%, 95% CI 4.2%-5.5%).
CONCLUSION: Absence of neurological features alone cannot be used to reliably exclude a serious secondary headache cause in ED patients.
METHODS: Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Patients without a known history of cerebral conditions and with a normal neurological assessment were included. The outcome of interest was the proportion of patients diagnosed with a serious secondary headache cause.
RESULTS: One hundred ninety-one patients were diagnosed with a serious secondary headache cause (191/3951, 4.8%, 95% CI 4.2%-5.5%).
CONCLUSION: Absence of neurological features alone cannot be used to reliably exclude a serious secondary headache cause in ED patients.