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
DIAGNOSIS | TRIAGE nurse | ED doctor | Headache centre | Concordance TRIAGE - headache centre |
|---|---|---|---|---|
(244 patients) | (244 patients) | (240 patients) | (κ; p - value) | |
Headache | 155 (63.6) | 128 (52.5) | – | |
Migraine without aura | 22 (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 headache | – | – | 32 (13.1) | – |
Chronic migraine | – | – | 35 (14.3) | – |
Medication overuse headache | – | – | 31 (12.7) | – |
Cluster hedache | 2 (0.8) | 2 (0.8) | 7 (2.9) | −0.013; p = 0.001 |
Other TACs | – | – | 1 (0.4) | – |
Trigeminal neuralgia | 8 (3.3) | – | 3 (1.2) | – |
Headache attributed to trauma | 5 (2.1) | 32 (13.1) | 8 (3.3) | – |
Sinusitis | – | – | 2 (0.8) | – |
Headache attributed to cranial and/or cervical vascular disorder | 16 (6.6) | – | 6 (2.5) | – |
Headache and arterial hypertension | 10 (4.1) | – | 5 (2.0) | – |
Headache and systemic infection | 6 (2.5) | – | 1 (0.4) | – |
Headache and anxiety disorder | 3 (1.2) | – | – | – |
Cervicogenic headache | 1 (0.4) | – | – | – |