Characterizing headache patients admitted from the emergency department: a retrospective study.

Autor:	AlGhamdi F; King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia., Alzahrani AA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Alwatyan KI; King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia., Hariri RA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Alhowaish AA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Almobarak RF; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Almulhim M; King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia., Alkhadra FB; King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Frontiers in neurology [Front Neurol] 2024 Nov 27; Vol. 15, pp. 1438312. Date of Electronic Publication: 2024 Nov 27 (Print Publication: 2024).
DOI:	10.3389/fneur.2024.1438312
Abstrakt:	Background: Headaches are a common complaint in emergency department (ED) presentations, but the demographics, clinical characteristics, and outcomes of patients admitted with headaches remain understudied. This retrospective study aims to investigate patients admitted with a chief complaint of headache. Methods: The study examined the triage database of our ED from 01/01/2020 to 31/12/2022 to identify patients admitted to either the wards or intensive care unit (ICU) with headache as their primary complaint. Results: Out of 347 identified patients, 100 met the inclusion criteria. The gender distribution was equal. The majority of cases (36%) were between 31 and 45 years old. Headache and dizziness were the most common complaints (54%), followed by chest pain (18%) and abdominal pain (10%). Neurological system involvement was observed in 60% of cases. Computed Tomography (CT) scans were performed in 87% of cases, while Magnetic Resonance Imaging (MRI) scans were done in 45% of cases. Comorbidities such as central nervous system (CNS) diseases (40%) and cardiovascular diseases (CVD) (36%) were prevalent. The average length of stay in the ED before admission was 35.3 h. Conclusion: This study provides insights into the demographics, clinical characteristics, and outcomes of patients admitted with headaches in the ED. The equal gender distribution and age distribution align with findings from other studies. The high utilization rate of CT scans suggests diagnostic uncertainty among emergency physicians. These findings contribute to the understanding of headache presentations in the ED and serve as a foundation for future research. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 AlGhamdi, Alzahrani, Alwatyan, Hariri, Alhowaish, Almobarak, Almulhim and Alkhadra.)
Databáze:	MEDLINE
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