Migraine in the emergency department: A retrospective evaluation of the characteristics of attendances in a major city hospital in the United Kingdom

Cephalalgia Reports

article

A-M Logan¹  I Reid¹  M Yogarajah¹  C Wang²  N Greenwood²  M Edwards³  H Jarman⁴  N Nirmalananthan¹ 

[1] Neurology Department, Atkinson Morley Regional Neurosciences Centre, St George’s University Hospitals NHS Foundation Trust;Faculty of Health, Social Care and Education, Kingston University and St George’s University of London;Molecular and Clinical Sciences Research Institute, St George’s University of London;Emergency Department Clinical Research Unit, St George’s University Hospital NHS Foundation Trust

关键词: attendance;    coding;    emergency department;    emergency vehicle;    migraine;    proforma;   

DOI  :  10.1177/25158163221084325

学科分类：兽医学

来源: Sage Journals

【 摘 要 】

Introduction: Detailed Emergency Department attendance data for migraine are needed for service redesign.Methods: A service evaluation was undertaken, classifying adult emergency department headache attendances using theInternational Classification of Headache Disorders migraine C-E criteria, evaluating attendance characteristics.Results: Migraine/Probable migraine diagnosis was documented in 58% but coded in 24% attendances by ED clinicians.29% of patients used no analgesia before attending, 43% attended 4 days after onset and 19% arrived by ambulance.Conclusion: This evaluation highlights sub-optimal acute management and discrepancy between migraine coding and diagnosis contributing to underreporting. We recommend further evaluation of identified cohorts and headache proforma use.

【 授权许可】

CC BY-NC