| Management of primary headaches in adult Emergency Departments: a literature review, the Parma ED experience and a therapy flow chart proposal. | |
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MedLine Citation:
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PMID: 20614150 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Adults seeking treatment at hospitals' Emergency Departments (EDs) because of headache represent a major health-care issue. To date, there are no special guidelines for management of primary headache in adults seen at EDs and therapeutic approaches are often inconsistent. This review describes the therapeutic strategies that are most frequently used to treat primary headache in adult ED patients and their in situ efficacy, based on literature data, the type of medications studied in randomized clinical trials for the management of adult ED patients, and the recommendations found in the guidelines for symptomatic treatment of migraine. We also report on the experience of the Parma University Hospital ED in the year 2007 for the management of adult patients diagnosed with primary headache. Finally, we propose an algorithm for primary headache management in ED patients, which is based on the literature data and clinical experience, and is suitable for application in Italy. |
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Authors:
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Paola Torelli; Valentina Campana; Gianfranco Cervellin; Gian Camillo Manzoni |
Publication Detail:
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Type: Journal Article; Review Date: 2010-07-08 |
Journal Detail:
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Title: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology Volume: 31 ISSN: 1590-3478 ISO Abbreviation: Neurol. Sci. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-20 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100959175 Medline TA: Neurol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 545-53 Citation Subset: IM |
Affiliation:
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Headache Center, Department of Neuroscience, University of Parma, c/o Ospedale Maggiore, Via Gramsci 14, 43126, Parma, Italy. paolatorelli@libero.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents, Non-Steroidal
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therapeutic use Databases, Factual / statistics & numerical data Dopamine Antagonists / therapeutic use Emergency Service, Hospital* Headache / diagnosis*, drug therapy* Humans Randomized Controlled Trials as Topic Retrospective Studies Steroids / therapeutic use Tryptamines / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal; 0/Dopamine Antagonists; 0/Steroids; 0/Tryptamines |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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