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Table 3 Results in the indicators analyzed in each of the participating Specialized Headache Units

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of patients with primary chronic headache who suffer one or more adverse events which resulted in treatment being withdrawn.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

  1. CV coefficient of variation
  2. # Average calculated considering the data set of all the hospitals
  3. *Does not include data from the Vall d’Hebron University Hospital that applied a different timescale criterion
  4. + At 6 months
  5. 1Fuenlabrada University Hospital, Fuenlabrada, Madrid
  6. 2Getafe University Hospital, Getafe, Madrid
  7. 3Albacete University Hospital Complex, Albacete
  8. 4Virgen de la Arrixaca University Hospital, Murcia
  9. 5Vall d’Hebron University Hospital, Barcelona
  10. 6San Carlos Clinical Hospital, Madrid
  11. 7Valladolid University Clinical Hospital, Valladolid