From: Quality assurance in specialized headache units in Spain: an observational prospective study
Indicators studied | Global# | Fuenlabrada1 | Getafe2 | Albacete3 | Murcia4 | Vall d’Hebron5 | San Carlos6 | HCUV7 | CV (%) |
---|---|---|---|---|---|---|---|---|---|
CEF1. Percentage of patients diagnosed with primary chronic headache who, in a period of one year, attend the Emergency Room due to headache or complications of treatment. | 28.7 | 11.1 | 28.9 | 46.7 | 67.4 | 15.6 | 17.8 | 15.6 | 72 |
CEF2. Percentage of patients with chronic migraine who improve in the assessment according to the MIDAS scale, pre-post measure, at three months following therapeutic intervention. | 67.8* | 86.7 | 64.4 | 66.7 | 67.4 | 53.7+ | 80 | 57.8 | 15 |
CEF3. Percentage of patients with primary chronic headache who progress to episodic headache (< 15 days of pain per month) after treatment. | 67.4 | 77.8 | 60.0 | 64.4 | 83.7 | 66.7 | 66.7 | 53.3 | 15 |
CEF4. Percentage of patients who obtain more than 7/10 points on scales that measure satisfaction with the care provided. | 87.9 | 93.3 | 80.0 | 80.0 | 83.7 | 88.9 | 97.8 | 91.1 | 8 |
CEF5. Percentage of patients with primary chronic headache treated in the Unit with at least one period of sick leave due to headache in the previous three months. | 14.1* | 11.1 | 8.9 | 8.9 | 25.6 | 11.1+ | 15.6 | 20 | 45 |
CEF6. Percentage of patients with primary headache receiving preventive treatment three months after their prescription. | 84.7* | 77.8 | 75.6 | 84.4 | 76.7 | 100+ | 86.7 | 93.3 | 8 |
CEF7. Percentage of patients with primary headache in analgesic treatment for more than 10 days a month in the last 3 months in the Specialized Headache Units. | 39.6* | 40 | 48.9 | 48.9 | 34.9 | 48.9+ | 24.4 | 42.2 | 23 |
CEF8. Percentage of patients with a diagnosis of primary headache in the Specialized Headache Units or Doctor’s Surgery, without repetition of neuroimaging studies in a one-year period. | 14.4 | 46.7 | 20.0 | 4.4 | 18.6 | 0.0 | 4.4 | 6.7 | 112 |
CEF9. Percentage of patients with primary chronic headache in non-recommended symptomatic treatment. | 20.2* | 8.9 | 35.6 | 35.6 | 9.3 | 55.6 | 13.3 | 4.5 | 107 |
CEF10. Percentage of patients with primary chronic headache who suffer one or more adverse events which resulted in treatment being withdrawn. | 30.3 | 46.7 | 37.8 | 35.6 | 25.6 | 44.4 | 13.3 | 8.9 | 49 |
CEF11. Percentage of patients with cluster headache attended within seven days from the onset. | 50.6 | 73.7 | 68.9 | 2.2 | 50.0 | 100 | 78.9 | 58.8 | 61 |
CEF12. Percentage of pregnant patients with primary headache attended within 15 days of the positive pregnancy test. | 24.6 | 4.5 | 31.1 | 20.0 | 97.7 | 100 | 66.7 | 77.8 | 155 |
CEF13. Percentage of patients with cluster headache episode who have home oxygen therapy. | 45.0 | 93.3 | 11.1 | 8.9 | 25.0 | 66.7 | 78.9 | 76.5 | 75 |