Background and aimHeadache is very often the cause for seeking an emergency department (ED). However, less is known about the different diagnosis of headache disorders in the ED, their management and treatment. The aim of this survey is to analyse the management of headache patients in two different ED in Europe.MethodsThis retrospective survey was performed from September 2018 until January 2019. Patients were collected from the San Luca Hospital, Milan, Italy and the Ordensklinikum Barmherzige Schwestern, Linz, Austria. Only patients with a non-traumatic headache, as the primary reason for medical clarification, were included. Patients were analysed for their complexity and range of examination, their diagnoses, acute treatment and overall efficacy rate.ResultsThe survey consists of 415 patients, with a mean age of 43.32 (SD ±17.72); 65% were female. Technical investigation was performed in 57.8% of patients. For acute treatment non-steroidal-anti-inflammatory drugs (NSAIDs) were the most used, whereas triptans were not given. A primary headache disorder was diagnosed in 45.3% of patients, being migraine the most common, but in 32% of cases the diagnosis was not further specified. Life-threatening secondary headaches accounted for less than 2% of cases.ConclusionsThe vast majority of patients attending an ED because of headache are suffering from a primary headache disorder. Life-threatening secondary headaches are rare but seek attention. NSAIDs are by far the most common drugs for treating headaches in the ED, but not triptans.

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急诊科头痛——患者特征、事实和需求的调查

背景和目标头痛通常是寻求急诊科 (ED) 的原因。然而，对急诊部头痛疾病的不同诊断、管理和治疗知之甚少。本次调查的目的是分析欧洲两个不同 ED 头痛患者的管理。 方法 本次回顾性调查于 2018 年 9 月至 2019 年 1 月进行。患者来自意大利米兰的圣卢卡医院和 Ordensklinikum Barmherzige Schwestern，奥地利林茨。仅包括以非外伤性头痛作为医学澄清的主要原因的患者。对患者的复杂程度和检查范围、诊断、急性治疗和总有效率进行了分析。结果本次调查共纳入415例患者，平均年龄43.32（SD±17.72）；65% 是女性。57.8% 的患者进行了技术调查。对于急性治疗，使用最多的是非甾体抗炎药 (NSAID)，而没有给予曲坦类药物。45.3% 的患者被诊断为原发性头痛，其中最常见的是偏头痛，但在 32% 的病例中没有进一步明确诊断。危及生命的继发性头痛占病例的不到2%。结论绝大多数因头痛就诊于急诊室的患者患有原发性头痛症。危及生命的继发性头痛很少见，但应引起注意。迄今为止，非甾体抗炎药是治疗急诊部头痛的最常用药物，但曲坦类药物不是。对于急性治疗，使用最多的是非甾体抗炎药 (NSAID)，而没有给予曲坦类药物。45.3% 的患者被诊断为原发性头痛，其中最常见的是偏头痛，但在 32% 的病例中没有进一步明确诊断。危及生命的继发性头痛占病例的不到2%。结论绝大多数因头痛就诊于急诊室的患者患有原发性头痛症。危及生命的继发性头痛很少见，但应引起注意。迄今为止，非甾体抗炎药是治疗急诊部头痛的最常用药物，但曲坦类药物不是。对于急性治疗，使用最多的是非甾体抗炎药 (NSAID)，而没有给予曲坦类药物。45.3% 的患者被诊断为原发性头痛，其中最常见的是偏头痛，但在 32% 的病例中没有进一步明确诊断。危及生命的继发性头痛占病例的不到2%。结论绝大多数因头痛就诊于急诊室的患者患有原发性头痛症。危及生命的继发性头痛很少见，但应引起注意。迄今为止，非甾体抗炎药是治疗急诊部头痛的最常用药物，但曲坦类药物不是。危及生命的继发性头痛占病例的不到2%。结论绝大多数因头痛就诊于急诊室的患者患有原发性头痛症。危及生命的继发性头痛很少见，但应引起注意。迄今为止，非甾体抗炎药是治疗急诊部头痛的最常用药物，但曲坦类药物不是。危及生命的继发性头痛占病例的不到2%。结论绝大多数因头痛就诊于急诊室的患者患有原发性头痛症。危及生命的继发性头痛很少见，但应引起注意。迄今为止，非甾体抗炎药是治疗急诊部头痛的最常用药物，但曲坦类药物不是。