Impact of COVID-19 Pandemic on Headache Evaluations in the Pediatric Emergency Department

NCT06295003 | Completed

• 1 other identifier: CEFA-COVID
• Study Type: observational
• Target: 700
• Locations: 1 country
• Sites: 1

Brief Summary

Background: To evaluate the impact of COVID-19 on evaluations in the pediatric emergency department (ED) because of headache as main symptom. Methods: Number and clinical features of patients evaluated in the pediatric ED of a single site in Milan,Italy, were collected between January 2017 and January 2022. The impact of COVID-19 on evaluation rates was quantified by using the incidence rate ratio (IRR) and 95% confidence intervals (CI) between the pandemic (March 2020 to January 2022) and the prepandemic period (January 2017 to February 2020).

Conditions

COVID-19; Headache Disorders; Emergency Service, Hospital

Outcome Measures

Primary Outcomes (1)

• During the study period, 890 evaluations were registered: the number of partecipants was 689 over the prepandemic period and 201 over the pandemic period. Mean age at evaluation was 10 years (range: 1 to 17 years).

  the pandemic (March 2020 to January 2022) and the prepandemic period (January 2017 to February 2020).

Secondary Outcomes (1)

• Evaluation rates per month were 18.1 during the prepandemic period and 8.7 during COVID-19 pandemic, with peaks in autumn and winter and drops in summer. The reduction in evaluation rate was higher for secondary headache when compared with primary one

  the pandemic (March 2020 to January 2022) and the prepandemic period (January 2017 to February 2020).

Eligibility Criteria

• Age: 2 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

patients aged 2-18 years evaluated in Pediatric Emergency Department because of headache as main symptom

You may qualify if:

• range of age: 2 - 18 years
• sex: all
• headache as main symptom

You may not qualify if:

• headache in the context of head trauma, because of different diagnostic-care in Pediatric Emergency Department

Sponsors & Collaborators

• Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico: lead

Study Sites (1)

Pediatric Emergency Department Clinica de Marchi, Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico

Milan, Italy

Location

MeSH Terms

Conditions

COVID-19; Headache Disorders; Emergencies

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: March 4, 2024
• First Posted: March 6, 2024
• Study Start: April 30, 2022
• Primary Completion: May 30, 2022
• Study Completion: May 30, 2022
• Last Updated: March 6, 2024

Record last verified: 2024-03

Locations

IT (1)