Background: The care of patients with headache in the emergency department (ED) represents a diagnostic and clinical challenge. Data on the prevalence and characteristics of headache patients in purely neurological EDs are sparse. The aim of the present study is to examine patient profiles with the cardinal symptom of headache in an academic neurological ED, to analyze correlations between headache characteristics and search for differences compared to the interdisciplinary ED. Methods: This retrospective cross-sectional study assessed all patients who presented to the ED of the Department of Neurology at Rostock University Medical Center between November 2013 and November 2016 with the main symptom of headache. Epidemiological, clinical, diagnostic data as well as key data regarding the care structure were recorded. Correlations between headache characteristics and diagnosis at discharge were analyzed and risk profiles were identified using binary logistic regression analysis. Conclusion: This study comprehensively characterized a large collective of patients with the cardinal symptom of headache presenting to a purely neurology emergency department.

中文翻译：

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神经急诊科的头痛特征：一项回顾性研究。

背景：急诊科 (ED) 头痛患者的护理代表了诊断和临床挑战。关于纯神经性 ED 中头痛患者的患病率和特征的数据很少。本研究的目的是检查学术神经学 ED 中头痛主要症状的患者概况，分析头痛特征之间的相关性，并寻找与跨学科 ED 相比的差异。方法：这项回顾性横断面研究评估了 2013 年 11 月至 2016 年 11 月期间到罗斯托克大学医学中心神经内科急诊就诊的所有以头痛为主要症状的患者。记录了流行病学、临床、诊断数据以及有关护理结构的关键数据。分析头痛特征与出院诊断之间的相关性，并使用二元逻辑回归分析确定风险概况。结论：本研究全面描述了大量出现在单纯神经内科急诊科的头痛主要症状患者的特征。