Migraine in the emergency department: A retrospective evaluation of the characteristics of attendances in a major city hospital in the United Kingdom-Reference-Cited by-同舟云学术

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

Published:2022-01-01 Issue: Volume:5 Page:251581632210843
ISSN:2515-8163
Container-title:Cephalalgia Reports
language:en
Short-container-title:Cephalalgia Reports

Author:

Logan A-M¹^ORCID,Reid I¹,Yogarajah M¹,Wang C²^ORCID,Greenwood N²,Edwards M³,Jarman H⁴,Nirmalananthan N¹^ORCID

Affiliation:

1. Neurology Department, Atkinson Morley Regional Neurosciences Centre, St George’s University Hospitals NHS Foundation Trust, London, UK

2. Faculty of Health, Social Care and Education, Kingston University and St George’s University of London, London, UK

3. Molecular and Clinical Sciences Research Institute, St George’s University of London, London, UK

4. Emergency Department Clinical Research Unit, St George’s University Hospital NHS Foundation Trust, London, UK

Abstract

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 the International 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.

Publisher

SAGE Publications

Subject

Neurology (clinical)

Link

http://journals.sagepub.com/doi/pdf/10.1177/25158163221084325

Reference12 articles.

1. Neurological Alliance. National Neurology Patient Experience Survey 2018/19. Detailed table of results-migraine. London: Neurological Alliance, 2019, pp. 1–36.

2. The burden of migraine on acute and emergency services in a London teaching hospital

3. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition