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Rates of Presentation, Treatments and Serious Neurologic Disorders Among Children and Young Adults Presenting to US Emergency Departments With Headache by Sriram Ramgopal; Amy Z. Zhou; Robert W. Hickey; Jennifer R. Marin is a Medicine article available to read on EtoBox.

What is Rates of Presentation, Treatments and Serious Neurologic Disorders Among Children and Young Adults Presenting to US Emergency Departments With Headache about?

Objective: To evaluate rates of presentation, neuroimaging, therapies, and serious neurologic disorders (SNDs) among children and young adults presenting to the emergency department with headache. Methods: We performed a cross-sectional study of a nationally representative sample survey of visits to US emergency departments between 2002 and 2017. We identified encounters of patients 25 years old with chief complaint of headache. We report the rates of presentation, imaging, and treatments and report proportions having concomitant diagnoses of serious neurologic disorders. Results: Among encounters 25 years, 2.0% had a chief complaint of headache, with no change in the yearly rates of encounters (P 1⁄4 .98). Overall, 20.8% had a head computed tomography (CT), with a reduction in performance between 2007 and 2016 (P < .01). One-quarter (25.2%, 95% confidence interval [CI] 22.2%-28.3%) were given narcotics and 2.5% (95% CI 1.7%-3.2%) had serious neurologic disorders. Conclusion: Overall, 2.0% of emergency department encounters among patients 25 years were for headache, with low rates of serious neurologic disorders. CT use appeared to be declining.

Who reads Rates of Presentation, Treatments and Serious Neurologic Disorders Among Children and Young Adults Presenting to US Emergency Departments With Headache?

Author

Sriram Ramgopal; Amy Z. Zhou; Robert W. Hickey; Jennifer R. Marin

Publisher

SAGE Publications

Published

2020

Language

EN

Field

Medicine (Health Sciences)