Is headache during pregnancy a higher risk for serious secondary headache cause? A HEAD study report

the HEAD Study and HEAD Colombia Investigators; Anne Maree Kelly; Kevin H. Chu; Win Sen Kuan; Gerben Keijzers; Frances B. Kinnear; Alejandro Cardozo-Ocampo

doi:10.1111/1742-6723.14005

Is headache during pregnancy a higher risk for serious secondary headache cause? A HEAD study report

the HEAD Study and HEAD Colombia Investigators
, Anne Maree Kelly^*
, Kevin H. Chu
, Win Sen Kuan
, Gerben Keijzers
, Frances B. Kinnear
, Alejandro Cardozo-Ocampo

^*Corresponding author for this work

Faculty of Health Sciences & Medicine

Research output: Contribution to journal › Article › Research › peer-review

1 Citation (Scopus)

Abstract

Objectives:

Pregnancy is defined as a ‘red flag’ in headache assessment. We aimed to describe the prevalence and causes of serious secondary headache in pregnant ED patients.

Methods:

Unplanned secondary analysis of HEAD Study/HEAD Colombia data.

Results:

3.2% (117/3643) of ED headache patients aged 18–50 years were pregnant, of whom six (5.1%) had a serious secondary cause identified. The proportion of patients with serious headache causes was not significantly different between pregnant female, non-pregnant female and male patient subgroups (P = 0.89).

Conclusion:

Inclusion of pregnancy as a ‘red flag’ in ED headache assessment is not supported by these data.

Original language	English
Pages (from-to)	629-631
Number of pages	3
Journal	EMA - Emergency Medicine Australasia
Volume	34
Issue number	4
Early online date	26 May 2022
DOIs	https://doi.org/10.1111/1742-6723.14005
Publication status	Published - Aug 2022

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Cite this

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title = "Is headache during pregnancy a higher risk for serious secondary headache cause? A HEAD study report",

abstract = "Objectives: Pregnancy is defined as a {\textquoteleft}red flag{\textquoteright} in headache assessment. We aimed to describe the prevalence and causes of serious secondary headache in pregnant ED patients. Methods: Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Results: 3.2\% (117/3643) of ED headache patients aged 18–50 years were pregnant, of whom six (5.1\%) had a serious secondary cause identified. The proportion of patients with serious headache causes was not significantly different between pregnant female, non-pregnant female and male patient subgroups (P = 0.89). Conclusion:Inclusion of pregnancy as a {\textquoteleft}red flag{\textquoteright} in ED headache assessment is not supported by these data.",

author = "\{the HEAD Study and HEAD Colombia Investigators\} and Kelly, \{Anne Maree\} and Chu, \{Kevin H.\} and Kuan, \{Win Sen\} and Gerben Keijzers and Kinnear, \{Frances B.\} and Alejandro Cardozo-Ocampo",

note = "Funding Information: Royal College of Emergency Medicine (UK) provided part funding. AMK and GK are section editors for Emergency Medicine Australasia. Publisher Copyright: {\textcopyright} 2022 Australasian College for Emergency Medicine.",

year = "2022",

month = aug,

doi = "10.1111/1742-6723.14005",

language = "English",

volume = "34",

pages = "629--631",

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AU - the HEAD Study and HEAD Colombia Investigators

AU - Kelly, Anne Maree

AU - Chu, Kevin H.

AU - Kuan, Win Sen

AU - Keijzers, Gerben

AU - Kinnear, Frances B.

AU - Cardozo-Ocampo, Alejandro

N1 - Funding Information: Royal College of Emergency Medicine (UK) provided part funding. AMK and GK are section editors for Emergency Medicine Australasia. Publisher Copyright: © 2022 Australasian College for Emergency Medicine.

PY - 2022/8

Y1 - 2022/8

N2 - Objectives: Pregnancy is defined as a ‘red flag’ in headache assessment. We aimed to describe the prevalence and causes of serious secondary headache in pregnant ED patients. Methods: Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Results: 3.2% (117/3643) of ED headache patients aged 18–50 years were pregnant, of whom six (5.1%) had a serious secondary cause identified. The proportion of patients with serious headache causes was not significantly different between pregnant female, non-pregnant female and male patient subgroups (P = 0.89). Conclusion:Inclusion of pregnancy as a ‘red flag’ in ED headache assessment is not supported by these data.

AB - Objectives: Pregnancy is defined as a ‘red flag’ in headache assessment. We aimed to describe the prevalence and causes of serious secondary headache in pregnant ED patients. Methods: Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Results: 3.2% (117/3643) of ED headache patients aged 18–50 years were pregnant, of whom six (5.1%) had a serious secondary cause identified. The proportion of patients with serious headache causes was not significantly different between pregnant female, non-pregnant female and male patient subgroups (P = 0.89). Conclusion:Inclusion of pregnancy as a ‘red flag’ in ED headache assessment is not supported by these data.

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JO - EMA - Emergency Medicine Australasia

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IS - 4

ER -

Is headache during pregnancy a higher risk for serious secondary headache cause? A HEAD study report

Abstract

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