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Are paediatric headaches in the emergency department increasing? An Italian experience

L Vetri, L M Messina, F Drago

    Functional Neurology
    |May 27, 2020
    PubMed

    Insights

    Pediatric emergency department visits for headache significantly increased by over 60% between 2009-2010 and 2017-2018. This rise in pediatric headache admissions suggests challenges with current treatment guidelines and communication strategies.

    Area of Science:

    • Pediatric Emergency Medicine
    • Neurology
    • Public Health

    Background:

    • Headache is a common presenting complaint in pediatric emergency departments.
    • Understanding trends in pediatric headache admissions is crucial for resource allocation and healthcare planning.

    Purpose of the Study:

    • To evaluate the trend of emergency department (ED) admissions for headache in children over a decade.
    • To analyze changes in the frequency and patterns of pediatric headache-related ED visits.

    Main Methods:

    • Retrospective analysis of ED admissions for headache at a children's hospital.
    • Comparison of two 24-month periods: 2009-2010 and 2017-2018.
    • Statistical analysis of admission data, including overall ED visits and headache-specific visits.

    Main Results:

    • Total ED admissions decreased by 10%, while headache admissions increased by 63.56% (p < 0.0001).
    • The proportion of children with multiple ED admissions for headache significantly rose from 9.5% to 17.98%.
    • A notable increase in pediatric headache emergency visits was observed.

    Conclusions:

    • The significant rise in pediatric headache admissions suggests potential inefficacy of current guidelines and educational strategies.
    • Communication challenges between primary care, hospitals, and patients may contribute to increased ED utilization for pediatric headaches.
    • Further research into improved management and communication protocols for pediatric headache is warranted.

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