Source:http://linkedlifedata.com/resource/pubmed/id/16686907
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
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| pubmed:dateCreated |
2006-5-11
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| pubmed:abstractText |
Headache is a common complaint in the emergency department (ED). In order to examine headache work-ups and diagnoses across the USA, we queried a representative sample of adult ED visits (the National Hospital Ambulatory Medical Care Survey) for the years 1992-2001. Headache accounted for 2.1 million ED visits per year (2.2% of visits). Of the 14% of patients who underwent neuroimaging, 5.5% received a pathological diagnosis. Of the 2% of patients who underwent lumbar puncture, 11% received a pathological diagnosis. On multivariable analysis, a decreased rate of imaging was noted for patients without private insurance [odds ratio (OR) 0.61, confidence interval (CI) 0.44, 0.86] and for those presenting off-hours (OR 0.55, CI 0.39, 0.77). Patients over 50 were more likely to receive a pathological diagnosis (OR 3.3, CI 1.2, 9.3). In conclusion, clinicians should ensure that appropriate work-ups are performed regardless of presentation time or insurance status, and be vigilant in the evaluation of older patients.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Jun
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| pubmed:issn |
0333-1024
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
26
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
684-90
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| pubmed:dateRevised |
2008-2-11
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| pubmed:meshHeading |
pubmed-meshheading:16686907-Adolescent,
pubmed-meshheading:16686907-Adult,
pubmed-meshheading:16686907-Age Distribution,
pubmed-meshheading:16686907-Aged,
pubmed-meshheading:16686907-Aged, 80 and over,
pubmed-meshheading:16686907-Emergency Service, Hospital,
pubmed-meshheading:16686907-Female,
pubmed-meshheading:16686907-Headache,
pubmed-meshheading:16686907-Humans,
pubmed-meshheading:16686907-Incidence,
pubmed-meshheading:16686907-Male,
pubmed-meshheading:16686907-Middle Aged,
pubmed-meshheading:16686907-Physician's Practice Patterns,
pubmed-meshheading:16686907-Reproducibility of Results,
pubmed-meshheading:16686907-Risk Assessment,
pubmed-meshheading:16686907-Risk Factors,
pubmed-meshheading:16686907-Sensitivity and Specificity,
pubmed-meshheading:16686907-Severity of Illness Index,
pubmed-meshheading:16686907-Sex Distribution,
pubmed-meshheading:16686907-Triage,
pubmed-meshheading:16686907-United States
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| pubmed:year |
2006
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| pubmed:articleTitle |
Headache in United States emergency departments: demographics, work-up and frequency of pathological diagnoses.
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| pubmed:affiliation |
Department of Emergency Medicine, Brigham & Women's Hospital, Boston, MA, USA.
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| pubmed:publicationType |
Journal Article
|