Evidence map›Paper›PMID 39423181›Full record

Observational studyPloS one2024

The potential to prevent unnecessary emergency department visits by timely diagnosis of migraine-A prospective observational study.

Hristina Drangova, Nicole Kofmel, Mattia Branca, David Gloor, Beat Lehmann, Aristomenis Exadaktylos, Simon Jung, Urs Fischer, Christoph J Schankin

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hristina DrangovaDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0002-2088-9121
Nicole KofmelDepartment of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Mattia BrancaCTU Bern, University of Bern, Bern, Switzerland.ORCID 0000-0002-8063-7882
David GloorDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Beat LehmannDepartment of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Aristomenis ExadaktylosDepartment of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Simon JungDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Urs FischerDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Christoph J SchankinDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSuccessful acute migraine treatment potentially prevents emergency room (ER) consultations but requires that the diagnosis of migraine was given earlier. The aim of this study is to quantify the problem of missed migraine diagnosis prior to ER visits.

methodsInclusion criterion for this single-center prospective study was the presentation at the ER for acute headache. Patients with acute migraine attacks were assessed for previous migraine attacks, and whether they were given a diagnosis of migraine in the past.

resultsOf 137 patients with migraine diagnosis at discharge, 108 (79%) had previous headache attacks fulfilling the criteria for migraine according to The International Classification of Headache Disorders 3rd edition (ICHD-3). Of those, 54 (50%) received the diagnosis for the first time.

conclusionHalf of the migraine patients (50%) presenting in the ER for headache could have been diagnosed earlier. This highlights the need for better detection and treatment of migraine by pre-hospital healthcare providers, as earlier diagnosis and specific acute treatment could have prevented the ER visit.

Indexed as

Emergency Service, HospitalMigraine DisordersAdultEarly DiagnosisEmergency Room VisitsFemaleHumansMaleMiddle AgedProspective StudiesYoung Adult

Identifiers

PMID39423181
PMCPMC11488698

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.