From: Quality assurance in specialized headache units in Spain: an observational prospective study
Indicators in the study | Headaches Specialized Units (N patients = 135) | Headaches consultations (N patients = 178) | ||||
---|---|---|---|---|---|---|
Mean | Standard Deviation | Mean | Standard Deviation | Confidence interval on the difference between means | P-Value | |
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. | 16.3 | 37.1 | 38.2 | 48.7 | 12.0, 31.8 | 0.0001 |
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. | 62.7 | 48.5 | 71.3 | 45.3 | −2.1, 19.3 | 0.113 |
CEF3. Percentage of patients with primary chronic headache who progress to episodic headache (< 15 days of pain per month) after treatment. | 62.2 | 48.7 | 71.3 | 45.3 | −1.4, 19.6 | 0.092 |
CEF4. Percentage of patients who obtain more than 7/10 points on scales that measure satisfaction with the care provided. | 92.6 | 26.3 | 84.3 | 36.5 | −15.6, − 1.0 | 0.020 |
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. | 14.8 | 35.6 | 13.5 | 34.2 | −15.6, −6.5 | 0.738 |
CEF6. Percentage of patients with primary headache receiving preventive treatment three months after their prescription. | 92.6 | 26.3 | 78.6 | 41.1 | −21.9, −6.0 | 0.0001 |
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. | 34.8 | 47.8 | 43.3 | 49.7 | −2.5, 19.4 | 0.129 |
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. | 3.7 | 18.9 | 22.5 | 41.8 | 11.1, 26.4 | 0.0001 |
CEF9. Percentage of patients with primary chronic headache in non-recommended symptomatic treatment. | 17.2 | 37.8 | 22.5 | 41.9 | −3.7, 14.3 | 0.242 |
CEF10. Percentage of patients with primary chronic headache who suffer one or more adverse events which resulted in treatment being withdrawn. | 22.2 | 41.7 | 36.5 | 48.3 | 4.1, 24.5 | 0.005 |
CEF11. Percentage of patients with cluster headache attended within seven days from the onset. | 73.2 | 44.9 | 42.5 | 49.6 | −48.1, −13.2 | 0.0001 |
CEF12. Percentage of pregnant patients with primary headache attended within 15 days of the positive pregnancy test. | 76.0 | 43.6 | 13.3 | 34.1 | −78.4, −47.0 | 0.0001 |
CEF13. Percentage of patients with cluster headache episode who have home oxygen therapy. | 62.3 | 48.9 | 37.4 | 48.6 | − 39.6, −10.1 | 0.001 |