ArticlePediatric neurology2018
A Modern Epidemic: Increasing Pediatric Emergency Department Visits and Admissions for Headache.
Article in Pediatric neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed.
- Hospitalized primary headache in children after emergency department evaluation: a retrospective cohort study.Acta neurologica Belgica · 2026Article
- Pathways of Patients With Neurological Emergencies at Pediatric Emergency Department: A Process-Based Data Mining Study.European journal of neurology · 2026Article
- Association between wildfire smoke exposure and pediatric emergency department visits for headache.Headache · 2026Article
- Prevalence, medication use, and health care utilization in pediatric primary headache: a school-based cross-sectional study.The journal of headache and pain · 2026Article
- The Pediatric Clinician's Approach to Acute or Chronic Neurologic Symptoms in Children with Sickle Cell Disease.Pediatric clinics of North America · 2026Review
- Pediatric Pharmacy Association 2025 KIDs List of Key Potentially Inappropriate Drugs in Pediatrics.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025Article
- Association of Race and Ethnicity With Emergency Room Rate of Migraine Diagnosis, Testing, and Management in Children With Headache.Neurology · 2025Observational
- Triptans in the Acute Migraine Management of Children and Adolescents: An Update.Current pain and headache reports · 2024Review
- How Can Specialist Advice Influence the Neuroimaging Practice for Childhood Headache in Emergency Department?Children (Basel, Switzerland) · 2023Article
- Pediatric headache patient with cerebral abscesses: a brief review of the literature and case report.The Journal of international medical research · 2023Review
- Sudden onset headaches in paediatric emergency departments: diagnosis and management.Italian journal of pediatrics · 2023Review
- Evolution of Pediatric Migraine Patients Admitted at an Emergency Department after a 10-Year Follow-Up.Journal of clinical medicine · 2023Article
- Red flags Presented in Children Complaining of Headache in Paediatric Emergency Department.Children (Basel, Switzerland) · 2023Article
- Olfactory training reduces pain sensitivity in children and adolescents with primary headaches.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Pediatric Migraine: Diagnosis and Management.Journal of clinical medicine · 2022Article
- Observational
- Epidemiology of Headache in Children and Adolescents-Another Type of Pandemia.Current pain and headache reports · 2020Review
- Standardized Headache Therapy in the Pediatric Emergency Department Using Improvement Methodology.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveHeadaches represent 0.9% to 2.6% of visits to a pediatric emergency department (PED). We noted a trend of increasing visits for headache in our tertiary care PED and sought to further characterize this trend.
methodsWe identified PED visits with International Classification of Disease, Ninth Revision, Clinical Modification diagnoses for headache at 25 hospitals in Pediatric Health Information System between 2003 and 2013. To further characterize demographics and treatment trends over time we used the electronic health record in our emergency department to identify children ages four to 18 between January 2007 and December 2014 with International Classification of Disease, Ninth Revision codes for headache: a random sample of 50 visits per year were chosen for chart review.
resultsPediatric Health Information System visits for headache increased by 166% (18,041 in 2003 and 48,020 in 2013); by comparison, total PED visits increased by 57.6%. The percent admission increased by 300% (2020 admissions in 2003 and 8087 admissions in 2013). At our hospital, headache visits increased 111% from 896 visits in 2007 to 1887 visits in 2014; total PED visits increased 30.2%. The admission percentage for headache increased 187% with 156 admissions in 2007 and 448 in 2014. Management over time differed in the frequency of head computed tomography which decreased 3.7% per year (r = -0.93, 95% CI -0.99, -0.64) from 34% in 2007 to 18% in 2014.
conclusionPediatric emergency department visits for headache are increasing and a growing proportion of these patients are admitted. This finding identifies a potential patient population to target for interventions to improve outpatient management and reduce pediatric emergency department utilization.
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