Predictive Score for Non-traumatic Secondary Headache After an Emergency Call

NCT04617808 | Completed

• 1 other identifier: CHRO-2019-02
• Study Type: observational
• Target: 715
• Locations: 1 country
• Sites: 2

Brief Summary

The study objective was to identify predictive criteria of severe non-traumatic secondary headache among the information gathered during telephone interview conducted by the on-call regulating physician at the Centre15.

Conditions

Headache; Emergencies

Keywords

headache; Emergency

Outcome Measures

Primary Outcomes (1)

• Proportion of patients with diagnosis of non-traumatic secondary headache

  Proportion of patients with diagnosis of non-traumatic secondary headache attended by the French emergency services operating

  Day 21

Secondary Outcomes (2)

• Proportion of patients requiring an admission to Intensive Care Unit

  Day 2

• Number of patients with early mortality

  Day 7

Study Arms (1)

Headache pattern

Telephone call from center 15 for the headache pattern

Other: Questionnaire

Interventions

Questionnaire OTHER

The regulatory scheme applied to all investigative centers is as follows: * Call from Center 15 by a major patient for secondary headache no traumatic. (i.e. not having been the victim of a head trauma during the 48 hours preceding the call) * Detection of the pattern of "non-traumatic headache", by the regulatory assistant medical with registration of the word "cephareg" in the medical regulation software in order to alert the regulator about the possible inclusion of the patient * If possible, patient information on the collection of their data for research and possibility of opposing * Filling of a medical questionnaire by the regulating doctor * Weekly collection of medical questionnaires by investigating doctors

Headache pattern

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The patients presenting all the inclusion criteria and not showing any of the non-inclusion criteria will be included prospectively and consecutively when calling for medical regulation from the SAMU 45. The patients will be included in the study by the doctor regulator.

You may qualify if:

• Telephone call from center 15 for the headache pattern
• Age ≥ 18
• Non-opposition expressed by the patient
• Or non-opposition delayed (adults with cognitive disorders, protected adults, clinical situations judged to be serious by the Medical Regulation Assistant, physician regulator, incoming call flow, call by close or trusted person)

You may not qualify if:

• Head trauma \< 48 hours
• Moribund patient
• Non-affiliation to a social security scheme
• Opposition to the continuation of the study expressed orally by the patient or by return mail within 30 days

Sponsors & Collaborators

• Centre Hospitalier Régional d'Orléans: lead

Study Sites (2)

Regional Hospital center of Orleans

Orléans, 45067, France

Location

CHRU de Tours

Tours, 37044, France

Location

Related Publications (7)

• Burch RC, Loder S, Loder E, Smitherman TA. The prevalence and burden of migraine and severe headache in the United States: updated statistics from government health surveillance studies. Headache. 2015 Jan;55(1):21-34. doi: 10.1111/head.12482. Erratum In: Headache. 2015 Feb;55(2):356.

  PMID: 25600719 BACKGROUND

• Goldstein JN, Camargo CA Jr, Pelletier AJ, Edlow JA. Headache in United States emergency departments: demographics, work-up and frequency of pathological diagnoses. Cephalalgia. 2006 Jun;26(6):684-90. doi: 10.1111/j.1468-2982.2006.01093.x.

  PMID: 16686907 BACKGROUND

• Valade D. The Emergency Headache Center at the Lariboisiere Hospital: 7 years with more than 70,000 patients. Intern Emerg Med. 2008 Oct;3 Suppl 1:S3-7. doi: 10.1007/s11739-008-0191-6.

  PMID: 18785014 BACKGROUND

• Perry JJ, Sivilotti MLA, Sutherland J, Hohl CM, Emond M, Calder LA, Vaillancourt C, Thirganasambandamoorthy V, Lesiuk H, Wells GA, Stiell IG. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ. 2017 Nov 13;189(45):E1379-E1385. doi: 10.1503/cmaj.170072.

  PMID: 29133539 BACKGROUND

• Perry JJ, Stiell IG, Sivilotti ML, Bullard MJ, Hohl CM, Sutherland J, Emond M, Worster A, Lee JS, Mackey D, Pauls M, Lesiuk H, Symington C, Wells GA. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013 Sep 25;310(12):1248-55. doi: 10.1001/jama.2013.278018.

  PMID: 24065011 BACKGROUND

• Pari E, Rinaldi F, Gipponi S, Venturelli E, Liberini P, Rao R, Padovani A. Management of headache disorders in the Emergency Department setting. Neurol Sci. 2015 Jul;36(7):1153-60. doi: 10.1007/s10072-015-2148-7. Epub 2015 Mar 10.

  PMID: 25754613 BACKGROUND

• Chey WY, Kusakcioglu O, Dinoso V, Lorber SH. Gastric secretion in patients with chronic pancreatitis and in chronic alcoholics. Arch Intern Med. 1968 Nov;122(5):399-403. No abstract available.

  PMID: 5687926 BACKGROUND

MeSH Terms

Conditions

Headache; Emergencies

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• JULIEN PASSERIEUX, Dr

  CHR ORLEANS

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 28, 2020
• First Posted: November 5, 2020
• Study Start: October 21, 2020
• Primary Completion: May 31, 2021
• Study Completion: May 31, 2021
• Last Updated: March 28, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)