Clinical presentation and assessment of older patients presenting with headache to emergency departments: A multicentre observational study.
aged
emergency departments
epidemiology
headache
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
23
08
2021
received:
20
04
2021
accepted:
25
08
2021
pubmed:
28
9
2021
medline:
22
3
2022
entrez:
27
9
2021
Statut:
ppublish
Résumé
To describe the characteristics, assessment and management of older emergency department (ED) patients with non-traumatic headache. Planned sub-study of a prospective, multicentre, international, observational study, which included adult patients presenting to ED with non-traumatic headache. Patients aged ≥75 years were compared to those aged <75 years. Outcomes of interest were epidemiology, investigations, serious headache diagnosis and outcome. A total of 298 patients (7%) in the parent study were aged ≥75 years. Older patients were less likely to report severe headache pain or subjective fever (both P < 0.001). On examination, older patients were more likely to be confused, have lower Glasgow Coma Scores and to have new neurological deficits (all P < 0.001). Serious secondary headache disorder (composite of headache due to subarachnoid haemorrhage (SAH), intracranial haemorrhage, meningitis, encephalitis, cerebral abscess, neoplasm, hydrocephalus, vascular dissection, stroke, hypertensive crisis, temporal arteritis, idiopathic intracranial hypertension or ventriculoperitoneal shunt complications) was diagnosed in 18% of older patients compared to 6% of younger patients (P < 0.001). Computed tomography brain imaging was performed in 66% of patients ≥75 years compared to 35% of younger patients (P < 0.001). Older patients were less likely to be discharged (43% vs 63%, P < 0.001). Older patients with headache had different clinical features to the younger cohort and were more likely to have a serious secondary cause of headache than younger adults. There should be a low threshold for investigation in older patients attending ED with non-traumatic headache.
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
126-137Investigateurs
Catherine Lunter
(C)
Rochelle Facer
(R)
David Thomson
(D)
Robert Day
(R)
Greg McDonald
(G)
Sarah Jones
(S)
Julian Cochrane
(J)
Stephen Gourley
(S)
Mark Ross
(M)
Vinay Gangathimmaiah
(V)
Kim Hansen
(K)
Frances B Kinnear
(FB)
Gerben Keijzers
(G)
Kevin Chu
(K)
Paul Bowe
(P)
Raymund de la Cruz
(R)
Daniel Haustead
(D)
Jean Moller
(J)
Katie Walker
(K)
Richard D Smith
(RD)
Ron Sultana
(R)
John Pasco
(J)
Neil Goldie
(N)
Andis Graudins
(A)
Rosamond Dwyer
(R)
George Plunkett
(G)
Anne-Maree Kelly
(AM)
Hugh Mitenko
(H)
Michael Lovegrove
(M)
Ben Smedley
(B)
Colin A Graham
(CA)
Ling Yan Leung
(LY)
Win Sen Kuan
(WS)
Ying Wei Yau
(YW)
Wei Ming Ng
(WM)
Ranjeev Kumar
(R)
Dennis Wen Jie Chia
(DWJ)
Said Laribi
(S)
Mounir Hilal
(M)
Rarthtana Mil
(R)
Audrey Gerineau
(A)
Matthew J Reed
(MJ)
Daniel Horner
(D)
Edward Carlton
(E)
Tom Roberts
(T)
Girish Boggaram
(G)
Jayne Foot
(J)
Andy Appleboam
(A)
Rachel Goss
(R)
Hamza Malik
(H)
Richard Body
(R)
John-Paul Williamson
(JP)
Adela Golea
(A)
Sonia Luka
(S)
Huseyin Avni Demir
(H)
Şafak Öner Gülpinar
(ŞÖ)
Lale Tolu
(L)
Muhammet Hacimustafaoğlu
(M)
Mehmet A Karamercan
(MA)
Elif Çelikel
(E)
Çilem Çaltili
(Ç)
Selahattin Gürü
(S)
Gülşah Yavuz
(G)
Franck Verschuren
(F)
Christopher Ramos
(C)
Paule Denoel
(P)
Nicolas Wilmet
(N)
Michael Vandoorslaert
(M)
Alessandro Manara
(A)
Adeline Higuet
(A)
Amichai Sheffy
(A)
Sinan Kamona
(S)
Peter Jones
(P)
Mai Nguyen
(M)
Anne Clarke
(A)
Sierra Beck
(S)
Andrew Munro
(A)
Kim M Yates
(KM)
James Weaver
(J)
Deborah Moore
(D)
Stuart Innes
(S)
Karina Walters
(K)
Koen Simons
(K)
Anne-Maree Kelly
(AM)
Kevin Chu
(K)
Tissa Wijeratne
(T)
Frances B Kinnear
(FB)
Gerben Keijzers
(G)
Sinan Kamona
(S)
Win Sen Kuan
(WS)
Colin Graham
(C)
Richard Body
(R)
Said Laribi
(S)
Sharon Klim
(S)
Mehmet Karamercan
(M)
Tom Roberts
(T)
Anne-Maree Kelly
(AM)
Sharon Klim
(S)
Kerrie Russell
(K)
Informations de copyright
© 2021 AJA Inc.
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