La cefalea in pronto soccorso pediatrico.

Translated title of the contribution: Headache in a pediatric emergency department

A. Palmieri, S. Mangini, P. Salvati, M. E. Celle, P. Di Pietro

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: Headache, a very frequent symptom in pediatrics, can severely affect the child and his family's life quality, representing an important reason of access to a Pediatric Emergency Department. From a clinical point of view, it is useful to subdivide headaches in primary and secondary ones. As far as the primary ones are concerned, the common migraine without aura is recognised as the most frequent in the child, while the most recurrent among the second ones are due to infective processes, and they represent 57% of the patients admitted to ED for headache with acute onset. MATERIALS AND METHODS: We analyzed data collected from June 2000 to December 2006, at the Pediatric Emergency Department of Institute "G. Gaslini" Genoa, concerning the admissions of patients with headache, with particular attention to the necessity of coming up with a clinical and diagnostical path. RESULTS: During the study, there have been 228.255 admissions, 2.214 of which with a diagnosis of discharge from ED of headache (55% males, 45% females). After triage, 14,3% has been evaluated as white code, 74,3% as green one, 10,8% as yellow one and 0,6% as red code. Final outcome of these patients has been hospitalization for 38%, OBI for 8%, home or ambulatory control for 54%. CONCLUSIONS: The accesses to ED for headache are increasing. Better information of the family is needed, with coordination among territorial structures and clinic management in ED.

Original languageItalian
Pages (from-to)249-257
Number of pages9
JournalPediatria Medica e Chirurgica
Volume30
Issue number5
Publication statusPublished - Sep 2008

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Headache
Hospital Emergency Service
Pediatrics
Migraine without Aura
Critical Pathways
Triage
Patient Admission
Hospitalization
Quality of Life

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Palmieri, A., Mangini, S., Salvati, P., Celle, M. E., & Di Pietro, P. (2008). La cefalea in pronto soccorso pediatrico. Pediatria Medica e Chirurgica, 30(5), 249-257.

La cefalea in pronto soccorso pediatrico. / Palmieri, A.; Mangini, S.; Salvati, P.; Celle, M. E.; Di Pietro, P.

In: Pediatria Medica e Chirurgica, Vol. 30, No. 5, 09.2008, p. 249-257.

Research output: Contribution to journalArticle

Palmieri, A, Mangini, S, Salvati, P, Celle, ME & Di Pietro, P 2008, 'La cefalea in pronto soccorso pediatrico.', Pediatria Medica e Chirurgica, vol. 30, no. 5, pp. 249-257.
Palmieri A, Mangini S, Salvati P, Celle ME, Di Pietro P. La cefalea in pronto soccorso pediatrico. Pediatria Medica e Chirurgica. 2008 Sep;30(5):249-257.
Palmieri, A. ; Mangini, S. ; Salvati, P. ; Celle, M. E. ; Di Pietro, P. / La cefalea in pronto soccorso pediatrico. In: Pediatria Medica e Chirurgica. 2008 ; Vol. 30, No. 5. pp. 249-257.
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