Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-01T09:45:35.702Z Has data issue: false hasContentIssue false

14 - Preventing Emergency Department Visits in Primary Headache Patients and Prevention of Bounce-Backs to the Emergency Department

Published online by Cambridge University Press:  09 October 2017

Serena L. Orr
Affiliation:
Children’s Hospital of Eastern Ontario, Ottawa
Benjamin W. Friedman
Affiliation:
Albert Einstein College of Medicine, New York
David W. Dodick
Affiliation:
Mayo Clinic, Phoenix, AZ
Get access

Summary

Abstract

Acute therapy of primary headaches includes intravenous rehydration, anti-emetics, corticosteroids, nonsteroidal anti-inflammatory drugs, dihydroergotamine, and serotonin 5-HT1B/1D receptor agonists. Different types of primary headaches may respond similarly to these therapies. Many headaches recur not long after treatment in the ED, and the natural history of the primary headaches is such that they will recur in the long term if not within hours to days of discharge. The ED physician must consider the possibility of post-ED headaches for patients presenting to the ED with primary headaches, and provide anticipatory management for these headaches. The appropriate management of primary headache relies on resources outside the ED, developed in collaboration with outpatient headache healthcare providers. This chapter will address post-ED headache management for primary headache patients.

Type
Chapter
Information
Emergency Headache
Diagnosis and Management
, pp. 149 - 157
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Schaffer, JT, Hunter, BR, Ball, KM, Weaver, CS. Noninvasive sphenopalatine ganglion block for acute headache in the emergency department: a randomized placebo-controlled trial. Ann Emerg Med. 2015;65(5):503–10.CrossRefGoogle ScholarPubMed
2.Swadron, SP. Pitfalls in the management of headache in the emergency department. Emerg Med Clin North Am. 2010;28(1):127–47.Google Scholar
3.Halm, EA, Mora, P, Leventhal, H. No symptoms, no asthma: the acute episodic disease belief is associated with poor self-managment among inner-city adults with persistent asthma. Chest. 2006;129(3):573–80.CrossRefGoogle Scholar
4.Pringsheim, T, Davenport, WJ, Becker, WJ. Prophylaxis of migraine headache. CMAJ. 2010;182(7):E269–76.Google Scholar
5.Davenport, R. Acute headache in the emergency department. J Neurol Neurosurg Psychiatry. 2002;72(Suppl. II):ii33–7.Google Scholar
6.Vinson, DR. Treatment patterns of isolated benign headache in US emergency departments. Ann Emerg Med. 2002;39(3):215–22.CrossRefGoogle ScholarPubMed
7.Lucado, J, Paez, K, Elixhauser, A. Headaches in US Hospitals and Emergency Departments, 2008: Statistical Brief #111. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. 2011;24:112.Google Scholar
8.Fiesseler, FW, Riggs, RL, Shih, R, Richman, PB. Do patients with recurrent headaches attempt abortive therapy before their emergency department visit? J Emerg Med. 2007;32(3):245–8.CrossRefGoogle ScholarPubMed
9.Bellolio, MF, Hess, EP, Gilani, WI, et al. External validation of the Ottawa subarachnoid hemorrhage clinical decision rule in patients with acute headache. Am J Emerg Med. 2015;33(2):244–9.Google Scholar
10.Rozen, TD. Emergency department and inpatient management of status migrainosus and intractable headache. Continuum. 2015;21(4):1004–17.Google Scholar
11.Minen, MT, Loder, E, Friedman, B. Factors associated with emergency department visits for migraine: an observational study. Headache. 2014;54(10):1611–18.Google Scholar
12.Peters, M, Jenkinson, C, Perera, S, et al. Quality in the provision of headache care: 2. Defining quality and its indicators. J Headache Pain. 2012;13(6):449–57.Google Scholar
13.Nijjar, SS, Pink, L, Gordon, AS. Examination of migraine management in emergency departments. Pain Res Manage. 2011;16(3):183–6.Google Scholar
14.Moskovitz, JB, Ginsberg, Z. Emergency department bouncebacks: is lack of primary care access the primary cause? J Emerg Med. 2015;49(1):70–7.Google Scholar
15.Maizels, M. Health resource utilization of the emergency department headache “repeater.” Headache. 2002;42:747–53.Google Scholar
16.Friedman, BW, Grosberg, BM. Diagnosis and management of the primary headache disorders in the emergency department setting. Emerg Med Clin North Am. 2009;27(1):71–87.Google Scholar
17.Ducharme, J, Beveridge, RC, Lee, JS, Beaulieu, S. Emergency management of migraine: is the headache really over? Acad Emerg Med. 1998;5:899–905.Google Scholar
18.Friedman, BW, Hochberg, ML, Esses, D, et al. Recurrence of primary headache disorders after emergency department discharge: frequency and predictors of poor pain and functional outcomes. Ann Emerg Med. 2008;52(6):696–704.Google Scholar
19.Friedman, BW, Hochberg, M, Esses, D, et al. Pain and functional outcomes of patients with primary headache disorder discharged from the emergency department (abstract). Acad Emerg Med. 2006;13(5 Suppl. 1):S18.Google Scholar
20.Friedman, BW, Greenwald, P, Bania, TC, et al. Randomized trial of IV dexamethasone for acute migraine in the emergency department. Neurology. 2007;69:2038–44.Google Scholar
21.Sumamo Schellenberg, E, Dryden, DM, Pasichnyk, D, et al. Acute Migraine Treatment in Emergency Settings. Comparative Effectiveness Review No. 84. Rockville, MD: Agency for Healthcare Research and Quality; 2012. Available at: https://effectivehealthcare.ahrq.gov/topics/migraine-emergency/research/.Google Scholar
22.Kelley, NE, Tepper, DE. Rescue therapy for acute migraine, part 3: opioids, NSAIDs, steroids, and post-discharge medications. Headache. 2012;52(3):467–82.Google Scholar
23.Wu, C-L, Wang, F-T, Chiang, Y-C, et al. Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med. 2010;38(4):512–17.Google Scholar
24.Leung, S, Bulloch, B, Young, C, Yonker, M, Hostetler, M. Effectiveness of standardized combination therapy for migraine treatment in the pediatric emergency department. Headache. 2013;53(3):491–7.CrossRefGoogle ScholarPubMed
25.Blumenthal, HJ, Weisz, MA, Kelly, KM, Mayer, RL, Blonsky, J. Treatment of primary headache in the emergency department. Headache. 2003;43:1026–31.Google Scholar
26.Mellick, LB, Mellick, GA. Treatment of primary headache in the emergency department. Headache. 2004;44(8):840–1.Google Scholar
27.Akpunonu, BE, Mutgi, AB, Federman, DJ, et al. Subcutaneous sumatriptan for treatment of acute migraine in patients admitted to the emergency department: a multicenter study. Ann Emerg Med. 1995;25(4):464–9.CrossRefGoogle Scholar
28.Visser, WH, Jaspers, NMWH, de Vriend, RHM, Ferrari, MD. Risk factors for recurrence after sumatriptan: a study in 366 migraine patients. Cephalalgia. 1996;16:264–9.CrossRefGoogle ScholarPubMed
29.Callaham, M, Raskin, N. A controlled study of dihydroergotamine in the treatment of acute migraine headache. Headache. 1986;26:168–71.Google Scholar
30.Winner, P, Ricalde, O, Le Force, B, Saper, J, Margul, B. A double-blind study of subcutaneous dihydroergotamine vs subcutaneous sumatriptan in the treatment of acute migraine. Arch Neurol. 1996;53:180–4.Google Scholar
31.Friedman, BW, Solorzano, C, Esses, D, et al. Treating headache recurrence after emergency department discharge: a randomized controlled trial of naproxen versus sumatriptan. Ann Emerg Med. 2010;56(1):7–17.Google Scholar
32.Balbin, JEB, Nerenberg, R, Baratloo, A, Friedman, BW. Intravenous fluids for migraine: a post hoc analysis of clinical trial data. Am J Emerg Med. 2016;34(4):713–16.Google Scholar
33.Callan, JE, Kostic, MA, Bachrach, EA, Rieg, TS. Prochlorperazine vs. promethazine for headache treatment in the emergency department: a randomized controlled trial. J Emerg Med. 2008;35(3):247–53.Google Scholar
34.Cete, Y, Dora, B, Ertan, C, Ozdemir, C, Oktay, C. A randomized prospective placebo-controlled study of intravenous magnesium sulphate vs. metoclopramide in the management of acute migraine attacks in the Emergency Department. Cephalalgia. 2005;25(3):199–204.Google Scholar
35.Bigal, ME, Bordini, CA, Speciali, JG. Diclofenaco intramuscular no tratamento agudo da migrânea: um estudo duplo cego placebo controlado. Arq Neuropsiquiatr. 2002;60(2-B):410–15.Google Scholar
36.Baden, EY, Hunter, CJ. Intravenous dexamethasone to prevent the recurrence of benign headache after discharge from the emergency department: a randomized, double-blind, placebo-controlled clinical trial. CJEM. 2006;8(6):393–400.Google Scholar
37.Woldeamanuel, Y, Rapoport, A, Cowan, R. The place of corticosteroids in migraine attack management: a 65-year systematic review with pooled analysis and critical appraisal. Cephalalgia. 2015;35(11):996–1024.Google Scholar
38.Colman, I, Friedman, BW, Brown, MD, et al. Parenteral dexamethasone for acute severe migraine headache: meta-analysis of randomised controlled trials for preventing recurrence. BMJ. 2008;336(7657):1359–61.Google Scholar
39.Singh, A, Alter, HJ, Zaia, B. Does the addition of dexamethasone to standard therapy for acute migraine headache decrease the incidence of recurrent headache for patients treated in the emergency department? A meta-analysis and systematic review of the literature. Acad Emerg Med. 2008;15(12):1223–33.Google Scholar
40.Becker, WJ. Cluster headache: conventional pharmacological management. Headache. 2013;53(7):1191–6.CrossRefGoogle ScholarPubMed
41.Legault, G, Eisman, H, Shevell, MI. Treatment of pediatric status migrainosus: can we prevent the “bounce back”? J Child Neurol. 2011;26(8):949–55.CrossRefGoogle ScholarPubMed
42.Cobb-Pitstick, KM, Hershey, AD, O’Brien, HL, et al. Factors influencing migraine recurrence after infusion and inpatient migraine treatment in children and adolescents. Headache. 2015;55(10):1397–403.CrossRefGoogle ScholarPubMed
43.Richer, L, Graham, L, Klassen, T, Rowe, B. Emergency department management of acute migraine in children in Canada: a practice variation study. Headache. 2007;47(5):703–10.Google Scholar
44.National Institute for Health and Care Excellence. Diagnosis and Management of Headache in Young People and Adults. London: NICE; 2012. Available at: www.nice.org.uk/CG150.Google Scholar
45.Bachur, RG, Monuteaux, MC, Neuman, MI. A comparison of acute treatment regimens for migraine in the emergency department. Pediatrics. 2015;135(2):232–8.CrossRefGoogle ScholarPubMed
46.Friedman, BW, Adewunmi, V, Campbell, C, et al. A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches. Ann Emerg Med. 2013;62(4):311–18.Google Scholar
47.Becker, WJ, Kryscio, RJ. Treatment of migraine: a headache for the emergency department. Neurology. 2007;69(22):2034–5.CrossRefGoogle Scholar
48.Gupta, MX, Silberstein, SD, Young, WB, et al. Less is not more: underutilization of headache medications in a university hospital emergency department. Headache. 2007;47(8):1125–33.CrossRefGoogle ScholarPubMed
49.Mazer-Amirshahi, M, Dewey, K, Mullins, PM, et al. Trends in opioid analgesic use for headaches in US emergency departments. Am J Emerg Med. 2014;32(9):1068–73.CrossRefGoogle ScholarPubMed
50.Bigal, ME, Lipton, RB. Excessive acute migraine medication use and migraine progression. Neurology. 2008;71:1821–8.Google Scholar
51.McCarthy, LH, Cowan, RP. Comparison of parenteral treatments of acute primary headache in a large academic emergency department cohort. Cephalalgia. 2014;35(9):807–15.Google Scholar
52.Colman, I, Rothney, A, Wright, S, Zilkalns, B, Rowe, BH. Use of narcotic analgesics in the emergency department treatment of migraine headache. Neurology. 2004;62(10):1695–700.CrossRefGoogle ScholarPubMed
53.Gross, A, Forget, M, St George, K, et al. Patient education for neck pain. Cochrane Database Syst Rev. 2012;3:CD005106.Google Scholar
54.Friedman, BW, Solorzano, C, Norton, J, et al. A randomized controlled trial of a comprehensive migraine intervention prior to discharge from an emergency department. Acad Emerg Med. 2012;19(10):1151–17.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×