Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
Department of Medicine, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Emerg Med Australas. 2022 Aug;34(4):629-631. doi: 10.1111/1742-6723.14005. Epub 2022 Apr 26.
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.
Unplanned secondary analysis of HEAD Study/HEAD Colombia data.
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).
Inclusion of pregnancy as a 'red flag' in ED headache assessment is not supported by these data.
妊娠被定义为头痛评估中的“危险信号”。我们旨在描述急诊科妊娠患者严重继发性头痛的患病率和病因。
对 HEAD 研究/HEAD 哥伦比亚数据进行非计划性的二次分析。
在年龄为 18-50 岁的急诊科头痛患者中，3.2%（117/3643）为妊娠患者，其中 6 例（5.1%）确定为严重的继发性病因。在有严重头痛病因的患者中，妊娠女性亚组、非妊娠女性亚组和男性患者亚组之间的比例无显著差异（P=0.89）。
这些数据不支持将妊娠作为急诊科头痛评估中的“危险信号”。
