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Table 2 Changes in diagnoses in relation to the clinical evaluation setting

From: Rapid referral for headache management from emergency department to headache centre: four years data

DIAGNOSISTRIAGE nurseED doctorHeadache centreConcordance TRIAGE - headache centre
(244 patients)(244 patients)(240 patients)(κ; p - value)
Headache155 (63.6)128 (52.5) 
Migraine without aura22 (9.0)82 (33.6)140 (57.4)0.581; p < 0.001
Migraine with aura (ophthalmic headache)16 (6.6)34 (13.9)0.032; p = 0.586
Tension-type headache32 (13.1)
Chronic migraine35 (14.3)
Medication overuse headache31 (12.7)
Cluster hedache2 (0.8)2 (0.8)7 (2.9)−0.013; p = 0.001
Other TACs1 (0.4)
Trigeminal neuralgia8 (3.3)3 (1.2)
Headache attributed to trauma5 (2.1)32 (13.1)8 (3.3)
Sinusitis2 (0.8)
Headache attributed to cranial and/or cervical vascular disorder16 (6.6)6 (2.5)
Headache and arterial hypertension10 (4.1)5 (2.0)
Headache and systemic infection6 (2.5)1 (0.4)
Headache and anxiety disorder3 (1.2)
Cervicogenic headache1 (0.4)
  1. TACs trigeminal autonomic cephalalgias
  2. Triage nurses used the definition “ophthalmic headache” to indicate the diagnosis of “migraine with aura”
  3. The concordance between primary headaches diagnosis was assessed using the Cohen Kappa coefficient (κ). The significance level was set at 0.05
  4. There was not agreement between diagnoses made by ED physicians and headache centre
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