Stevenson R J, Dutta D, MacWalter R S
Ninewells Hospital and Medical School, Dundee.
Scott Med J. 1998 Dec;43(6):173-6. doi: 10.1177/003693309804300605.
There have been no previously published studies about acute admissions with headaches to a medical admissions ward. In our retrospective case-note study of all patients admitted with headaches to the acute medical admission ward of Ninewells Hospital, Dundee over a six-month period, there were 114 admissions with headache (2.4% of all admissions). CT scans were done in 68 (59.6%) and were abnormal in 21 patients. Twenty four patients (21.1%) had serious underlying causes for headaches. Predictors for CT abnormalities are discussed. Eighteen patients had lumbar punctures and six had abnormal results. Most patients were discharged after one day, nine were transferred to the neurosurgical unit and there were two deaths. Deficiencies in record keeping were identified as was a lack of precision in diagnosis. Changes in practice are needed to improve patient care and perhaps national guidelines are required.
此前尚无关于因头痛而急症入院至内科病房的已发表研究。在我们对邓迪Ninewells医院急性内科病房六个月期间所有因头痛入院患者的回顾性病例记录研究中，有114例因头痛入院（占所有入院患者的2.4%）。68例（59.6%）进行了CT扫描，其中21例结果异常。24例（21.1%）患者有导致头痛的严重潜在病因。讨论了CT异常的预测因素。18例患者进行了腰椎穿刺，6例结果异常。大多数患者在一天后出院，9例转至神经外科，有2例死亡。发现了记录保存方面的不足以及诊断缺乏准确性的问题。需要改变做法以改善患者护理，或许还需要国家指南。
