Headache in the Emergency Department
Autor: | James C. Grotta, Sandi G. Shaw, Kamaldeen R. Saldin, John C. Huber, Lewis B. Morgenstern, Hortencia Luna-Gonzales, Lindsay Knudson, Ralph F. Frankowski |
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Rok vydání: | 2001 |
Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage Migraine Disorders Diagnosis Differential Prochlorperazine Humans Medicine Prospective Studies Prospective cohort study business.industry Medical record Anti-Inflammatory Agents Non-Steroidal Headache Emergency department Odds ratio medicine.disease Texas Confidence interval Treatment Outcome Neurology Migraine Acute Disease Emergency medicine Physical therapy Antiemetics Drug Therapy Combination Female Observational study Neurology (clinical) Emergency Service Hospital business Ketorolac |
Zdroj: | Headache: The Journal of Head and Face Pain. 41:537-541 |
ISSN: | 1526-4610 0017-8748 |
DOI: | 10.1046/j.1526-4610.2001.041006537.x |
Popis: | Objective.—To perform an observational study of the demographics, clinical factors, and therapeutic efficacy in patients presenting to the emergency department with a chief complaint of headache. Background.—Acute headache presentations to the emergency department are a therapeutic dilemma for physicians. Methods.—Patients presenting with nontraumatic headache to the emergency department of Hermann Hospital in Houston, Texas, during a 16-month period were prospectively ascertained by active and passive surveillance. The medical record was abstracted. Demographic and clinical information are presented with descriptive statistics. Relative benefit of individual therapies are compared with odds ratios (95% confidence intervals). Results.—Of the 38 730 patients who were prospectively screened, 455 presented with a chief complaint of headache. Seventy-six percent were women, and the mean age was 37 years. Non-Hispanic whites were more likely diagnosed with migraine compared with Hispanics or African Americans (P |
Databáze: | OpenAIRE |
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