Epidemiology of Headache in Children in a Community Emergency Department: A Scoping Study.

Abstract:

OBJECTIVE:This study aimed to describe the epidemiology of headache in children attending a community mixed adult-pediatric emergency department (ED) in Australia with a view to providing scoping data for future headache-related projects for the pediatric ED research networks. METHODS:This is a retrospective cohort study by medical record review. Participants were children aged 2 to 16 years who presented to the ED between January 1, 2016, and December 31, 2016, with a major symptom of headache. Exclusion criteria were a history of recent head trauma, a ventriculoperitoneal shunt in situ, or known intracranial conditions associated with headache. Data collected included demographics, clinical features, investigations, diagnosis, disposition, and outcome. The primary outcomes of interest were the proportion of children with a serious ED diagnosis, the distribution of ED diagnoses, investigation ordering patterns, treatments provided, and clinical outcome. RESULTS:A total of 225 children were studied, with a median age of 9 years (interquartile range, 6-13 years). The most common associated symptoms were fever (47%) and vomiting (42%). The most common examination feature was fever (21%). Abnormal neurological findings were very uncommon. Few children underwent advanced neuroimaging (7 patients; 3%), and no intracranial abnormalities were detected. Seven children had a serious diagnosis (7/225 [3%]; 95% confidence interval, 2%-6%). Six of these 7 were viral meningitis, and there was 1 case of bacterial meningitis. CONCLUSIONS:In a community teaching hospital cohort of children with headache, intercurrent viral illness is the most common cause. Serious causes were very uncommon. The rate of bacterial meningitis, tumor, or abscess was <1%. This has implications for the planning of research projects.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Klim S,Kelly AM,Krieser D

doi

10.1097/PEC.0000000000002000

subject

Has Abstract

pub_date

2020-01-21 00:00:00

eissn

0749-5161

issn

1535-1815

pub_type

杂志文章
  • Enterobius Vermicularis as a Cause of Intestinal Occlusion: How To Avoid Unnecessary Surgery.

    abstract::Enterobius vermicularis may cause infections of the gastrointestinal tract and occurs approximately in 4% to 28% of children worldwide. It is most common in children aged 5 to 14 years.The most commonly reported symptoms are pruritus in the perianal region, abdominal pain, urinary tract infection, insomnia, irritabili...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000480

    authors: Adorisio O,De Peppo F,Rivosecchi M,Silveri M

    更新日期:2016-04-01 00:00:00

  • Which Clinical Features of Children on Initial Presentation to the Emergency Department With Head Injury Are Associated With Clinically Important Traumatic Brain Injury, Classification as Abuse, and Poor Prognosis?

    abstract:BACKGROUND:Pediatric traumatic brain injury (TBI) and abusive head trauma (AHT) are leading causes of morbidity and mortality. Clinicians may not be aware of AHT at presentation to the emergency department (ED). OBJECTIVE:The objective of this study was to determine which clinical features associated with head injury ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002239

    authors: Burns J,Rohl S,Marth D,Proctor D,Amin R,Sekhon C

    更新日期:2020-09-10 00:00:00

  • A qualitative assessment of reasons for nonurgent visits to the emergency department: parent and health professional opinions.

    abstract:OBJECTIVE:Each day, children incur more than 69,000 emergency department (ED) visits, with 58% to 82% of them for nonurgent reasons. The objectives of this study were to elicit and to describe guardians' and health professionals' opinions on reasons for nonurgent pediatric ED visits. METHODS:Focus groups sessions were...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318248b431

    authors: Fieldston ES,Alpern ER,Nadel FM,Shea JA,Alessandrini EA

    更新日期:2012-03-01 00:00:00

  • Use of restraints in ambulances: a state survey.

    abstract:PURPOSE:To determine the requirements in all states and the District of Columbia for use of restraints on patients in ambulances. MATERIALS AND METHODS:A structured telephone survey was conducted with all state Emergency Medical Services (EMS) agencies or the agency responsible for the regulation of ambulances. Questi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199806000-00014

    authors: Seidel JS,Greenlaw J

    更新日期:1998-06-01 00:00:00

  • Anaphylaxis management in the pediatric emergency department: opportunities for improvement.

    abstract:PURPOSE:To determine the rate, immediate treatment, and outpatient management for anaphylaxis in patients receiving care in a pediatric emergency department (ED). METHODS:This is a retrospective cross-sectional descriptive study of patients (21 years or younger) who received care for anaphylaxis for a 5-year period in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ce2e1c

    authors: Russell S,Monroe K,Losek JD

    更新日期:2010-02-01 00:00:00

  • Deep vein thrombosis in an adolescent.

    abstract::We report an unusual case of deep vein thrombosis following minor trauma in an adolescent who presented with a swollen, tender, lower extremity. Work-up consisted of a venogram which demonstrated occlusion of the deep venous system in the proximal leg. The patient was hospitalized for intravenous heparin followed by o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198906000-00008

    authors: Berman DA,Norris RL,Crow T,Scatamacchia S

    更新日期:1989-06-01 00:00:00

  • Isolated torsion of the fallopian tube in a menarchal 11-year-old girl.

    abstract::Isolated torsion of the fallopian tube is a rare cause of an acute lower abdominopelvic pain in adolescent females that is difficult to recognize preoperatively. This is a case report of an 11-year-old girl who presented with a right lower quadrant abdominal pain, nausea, and vomiting secondary to isolated torsion of ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318177a727

    authors: Markhardt BK,Jones L,Drugas GT

    更新日期:2008-06-01 00:00:00

  • Pediatric patient safety in the prehospital/emergency department setting.

    abstract::The unique characteristics of the pediatric population expose them to errors in the emergency department (ED) with few standard practices for the safety of care. Young children and high-acuity patients are at increased risk of adverse events both in the prehospital and ED settings. We provide an overview of the proble...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000278393.32752.9f

    authors: Barata IA,Benjamin LS,Mace SE,Herman MI,Goldman RD

    更新日期:2007-06-01 00:00:00

  • Evaluation of Predictors of Mortality Associated With Childhood Heart Failure in Nigeria: A 2-Center Study.

    abstract:OBJECTIVE:The aim of this study was to evaluate the predictors of mortality in childhood heart failure (HF) in 2 tertiary hospitals. METHODS:A 51-month retrospective review of case notes of children with HF admitted into children's emergency rooms of 2 tertiary centers in Southern Nigeria was done. Bio-data and certai...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000001427

    authors: Sadoh WE,Okperi B,Ikhurionan P,Monday P,Sadoh AE

    更新日期:2020-05-01 00:00:00

  • Teaching Infant Cardiopulmonary Resuscitation to Caregivers in the Emergency Department.

    abstract:OBJECTIVES:Infant cardiopulmonary resuscitation (CPR) has been taught to caregivers of infants in inpatient settings. There are no studies to date that look at teaching infant CPR in the emergency department (ED). Using a framework of cognitive load theory, we compared teaching infant CPR to caregivers in a pediatric E...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001974

    authors: Song JL,Chang TP,Schmidt AR,Stavroudis TA,Pham PK,Nager AL

    更新日期:2020-01-06 00:00:00

  • Concentrated liquid detergent pod ingestion in children.

    abstract::Concentrated liquid detergent pods are an emerging public health hazard, especially in pediatric patients. Ingestion is a more common route of exposure for liquid detergent pods compared with non-pod detergents and it tends to be associated with more severe adverse effects. We present 3 cases that demonstrate the vari...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000292

    authors: Sidhu N,Jaeger MW

    更新日期:2014-12-01 00:00:00

  • Pediatric zolpidem ingestion demonstrating zero-order kinetics treated with flumazenil.

    abstract::Zolpidem is a widely prescribed anti-insomnia agent. Although most pediatric zolpidem ingestions are benign, large ingestions can cause significant central nervous system (CNS) depression. Flumazenil has been reported to reverse the CNS effects of zolpidem. We describe a case of a large pediatric zolpidem ingestion re...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182aa139c

    authors: Thornton SL,Negus E,Carstairs SD

    更新日期:2013-11-01 00:00:00

  • Recognizing vertebral artery dissection in children: a case report.

    abstract::Vertebral artery dissection is an unusual cause of stroke especially in children. The majority of dissections are thought to be caused by trauma although in many cases the trauma may be trivial. In other cases, certain underlying pathological processes are thought to be risk factors. We report a case of vertebral arte...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200006000-00014

    authors: Feudale F,Liebelt E

    更新日期:2000-06-01 00:00:00

  • Inability to walk, disequilibrium, incoherent speech, disorientation following the instillation of 1% cyclopentolate eyedrops: case report.

    abstract::A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, alt...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182417a63

    authors: Derinoz O,Er A

    更新日期:2012-01-01 00:00:00

  • Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.

    abstract:OBJECTIVES:To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. METHODS:During a 2-year period (January 2001 to December 2002), accompanying people of 2157 children with acute intoxication who visited consecutively at the emergency room were pro...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.pec.0000215651.50008.1b

    authors: Mintegi S,Fernández A,Alustiza J,Canduela V,Mongil I,Caubet I,Clerigué N,Herranz M,Crespo E,Fanjul JL,Fernández P,Humayor J,Landa J,Muñoz JA,Lasarte JR,Núñez FJ,López J,Molina JC,Pérez A,Pou J,Sánchez CA,Vázquez

    更新日期:2006-05-01 00:00:00

  • The Elusive Diagnosis of Adolescent Systemic Lupus Erythematosus.

    abstract::Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple systems, and its various symptoms are often mistaken for other diseases. This case report describes a 15-year-old girl who presented to the emergency department with complaints of diffuse abdominal pain, facial swelling, joint pain, low-gra...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001066

    authors: Mancini M

    更新日期:2019-01-01 00:00:00

  • Barriers to care among US school-aged children with disabilities.

    abstract:OBJECTIVE:We examined financial barriers to care experienced by US school-aged children with disabilities. METHODS:Data from the 2005 National Health Interview Survey were analyzed. Children aged 5 to 17 years were classified into 4 health condition groups: children with activity limitations, disabling conditions, chr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318180fda3

    authors: Scurlock C,Yu S,Zhang X,Xiang H

    更新日期:2008-08-01 00:00:00

  • Chest Radiograph Alone Is Sufficient as the Foreign Body Survey for Children Presenting With Coin Ingestion.

    abstract:OBJECTIVES:Radiographic survey of the entire aerodigestive tract (nares to anus) is common practice in children presenting to the emergency department following coin ingestion. The purpose of our study was to determine the optimal protocol for radiographic survey post-coin ingestion. We hypothesized that for children p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001688

    authors: Shatani N,Alshaibani S,Potts J,Phillips B,Bray H

    更新日期:2018-11-19 00:00:00

  • Acute pancreatitis due to rotavirus gastroenteritis in a child.

    abstract:OBJECTIVES:Serum amylase can be elevated in various pathological conditions, but its primary application is as a biochemical test for the diagnosis of acute pancreatitis. Acute gastroenteritis has not been widely recognized as a cause for hyperamylasemia and pancreatitis. METHODS:We describe a case of acute pancreatit...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ea72a8

    authors: Parri N,Innocenti L,Collini S,Bechi F,Mannelli F

    更新日期:2010-08-01 00:00:00

  • Age limits and transition of health care in pediatric emergency medicine.

    abstract:OBJECTIVE:To describe the practice reported by pediatric emergency department (PED) medical directors regarding age limits and transition of health care in their emergency departments and institutions. METHODS:A 28-question survey was sent by e-mail to 116 PED medical directors. Descriptive statistics were used to rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000248701.87916.05

    authors: Dobson JV,Bryce L,Glaeser PW,Losek JD

    更新日期:2007-05-01 00:00:00

  • Clinical significance of scalp abnormalities in asymptomatic head-injured infants.

    abstract:OBJECTIVES:1) To identify clinical features indicating a high risk of skull fracture (SF) and associated intracranial injury (ICI) in asymptomatic head-injured infants. 2) To develop a clinical decision rule to determine which asymptomatic head-injured infants require head imaging. METHODS:We performed a prospective c...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200104000-00002

    authors: Greenes DS,Schutzman SA

    更新日期:2001-04-01 00:00:00

  • A rare cause of acute abdominal pain: Herlyn-Werner-Wunderlich syndrome.

    abstract::Herlyn-Werner-Wunderlich (HWW) syndrome is a rare müllerian duct anomaly with uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Patients with this syndrome generally present after menarche with pelvic pain and mass and, rarely, primary infertility in later years. Strong suspicion and ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000052

    authors: Aydin R,Ozdemir AZ,Ozturk B,Bilgici MC,Tosun M

    更新日期:2014-01-01 00:00:00

  • The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol: A Quality Improvement Analysis.

    abstract:BACKGROUND:Pediatric nonaccidental trauma (NAT) accounts for more than 1500 deaths annually and is a source of incalculable lifelong morbidity. Evidence-based NAT evaluation protocols are available; however, compliance studies are lacking. Here, we analyze the quality of implementation of a new NAT evaluation protocol....

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001981

    authors: Esquivel A,Pastrana I,Marshall V,Lukefahr JL,Mitchell I

    更新日期:2020-02-01 00:00:00

  • Spontaneous pneumorrhachis.

    abstract::Pneumomediastinum is a relatively uncommon occurrence in pediatric patients. After mediastinal air leak, air may dissect through a variety of tissue planes within the chest, neck, and abdomen. We report the case of a 16-year-old adolescent boy who presented with spontaneous pneumomediastinum accompanied by the presenc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828a38ad

    authors: Carolan PL,Wright SL,Jha V

    更新日期:2013-04-01 00:00:00

  • The missing "Bratz" doll: a case of vaginal foreign body.

    abstract::Young female patients with gynecologic complaints, including vaginal discharge, commonly seek care in the emergency department. Prepubertal vaginal discharges have various potential etiologies including nonspecific vulvovaginitis, infections, inflammatory or dermatologic processes, precocious puberty, malignancy, anat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/pec.0b013e31815c9dd2

    authors: Someshwar J,Lutfi R,Nield LS

    更新日期:2007-12-01 00:00:00

  • Missed opportunities during pediatric residency training: report of a 10-year follow-up survey in critical care transport medicine.

    abstract:OBJECTIVES:The Accreditation Council for Graduate Medical Education requires pediatric residency training programs to provide exposure to the prehospital management and transport of patients. The authors hypothesized that compared with a similar study a decade prior, current pediatric residency training programs have r...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31823ed4ab

    authors: Kline-Krammes S,Wheeler DS,Schwartz HP,Forbes M,Bigham MT

    更新日期:2012-01-01 00:00:00

  • Observation medicine: the expanded role of the nurse practitioner in a pediatric emergency department extended care unit.

    abstract:BACKGROUND:The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfactio...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Silvestri A,McDaniel-Yakscoe N,O'Neill K,Bradley D,Hawkins H,Holleran R,Burke P,Hohenhaus S,Howard PK

    更新日期:2005-03-01 00:00:00

  • Closing the Loop: Program Description and Qualitative Analysis of a Pediatric Posttransfer Follow-up and Feedback Program.

    abstract:OBJECTIVES:Follow-up and feedback foster improvement. General emergency medicine providers working in community hospitals desire follow-up and feedback on pediatric patients transferred to children's hospitals. We implemented a novel program to provide these data to our colleagues. The objective of this study was to ex...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002108

    authors: Goldman MP,Query LA,Wong AH,Gross IT,Emerson BL,Auerbach MA,Tiyyagura GK

    更新日期:2020-10-01 00:00:00

  • Interexaminer agreement in physical examination for children with suspected soft tissue abscesses.

    abstract:OBJECTIVE:This study aimed to measure interexaminer agreement for physical examination (PE) findings in children with a suspected soft tissue abscess. METHODS:A prospective study was conducted from March 1 to July 31, 2007, at an urban, tertiary care children's hospital emergency department. Children presenting to the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31821d8545

    authors: Giovanni JE,Dowd MD,Kennedy C,Michael JG

    更新日期:2011-06-01 00:00:00

  • Cranium-Penetrating Mass Detected by Ultrasound Expedited Management of Langerhans Cell Histiocytosis.

    abstract::A 6-year-old boy presented to the pediatric emergency department with a unilateral 5 × 3-cm superficial mass on the postauricular region growing for 1 month. Point-of-care ultrasound was used to evaluate the mass, which revealed a complex cystic mass penetrating the temporal bone. After confirmatory magnetic resonance...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001092

    authors: Morgan B,Lau HL,Yellin S

    更新日期:2017-04-01 00:00:00