COMPARATIVE EVALUATION OF PAIN CHARACTERISTICS AND RADIOLOGICAL IMAGING FINDINGS IN PATIENTS WITH SECONDARY TYPE HEADACHE IN THE EMERGENCY DEPARTMENT; A PROSPECTIVE ANALYSIS

Authors : Erhan Akdaş, Onur Incealtin, Dilay Satilmiş

Pages : 225-230

Doi:10.24938/kutfd.1288186

View : 37 | Download : 45

Publication Date : 2023-08-31

Article Type : Research Article

Abstract :Objective: Secondary type headache is observed at a rate of 4-5% in the emergency department. In this prospecitve study, it was aimed to evaluate the results of patients with secondary headache, such as consultation, hospitalization, and discharge decision in correlation with radiological imaging findings. Material and Methods: This is a single-center, prospective and methodological study. According to International Headache Society criteria, sociodemographic characteristics, emergency department examination findings of a total of 200 patients with secondary headache were recorded. Results: Fifty percent of the patients had throbbing pain, 29.5% had constrictive pain, and the rate of pathological findings on CT was significantly higher in patients with squeezing pain (p=0.019). The hospitalization rate was significantly higher in the patients for whom consultation was requested, and 69.0% of the patients who were admitted to the hospital had constrictive pain (p<0.05). Conclusion: It has been observed that careful questioning of pain characteristics, good evaluation of radiological imaging indications, and working in cooperation with other clinics when necessary in the diagnosis of secondary type headache in patients presenting to the emergency department with headache play an important role in making faster and more accurate decisions on behalf of the patient.
Keywords : Acil servis, baş ağrısı, ağrı karakterleri, radyolojik bulgular