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 journalArticlepeer-review


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.

Translated title of the contributionHeadache in a pediatric emergency department
Original languageItalian
Pages (from-to)249-257
Number of pages9
JournalPediatria Medica e Chirurgica
Issue number5
Publication statusPublished - Sep 2008

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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