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Emergency Department concussion revisits: Chart review of the evaluation and discharge plans of post-traumatic headache patients

Published:November 02, 2016DOI:https://doi.org/10.1016/j.ajem.2016.10.076
      Post-traumatic headache is one of the most common secondary headache disorders. Unlike patients with many of the other common headache disorders such as tension type headache and migraine, these patients oftentimes first present to the Emergency Department for their initial care. In fact, approximately 1.365 million Americans with a traumatic brain injury (TBI) are treated and released from the Emergency Department (ED) annually [
      Get the stats on traumatic brain injury in the United States Centers for Disease Control and Prevention Web site.
      ]. Most of these patients suffer from headache, as studies indicate that post-traumatic headache is one of the most common, if not the most common, symptom of concussion [
      • Paniak C.
      • Reynolds S.
      • Phillips K.
      • Toller-Lobe G.
      • Melnyk A.
      • Nagy J.
      Patient complaints within 1 month of mild traumatic brain injury: A controlled study.
      ,
      • De Kruijk J.R.
      • Leffers P.
      • Menheere P.P.
      • Meerhoff S.
      • Rutten J.
      • Twijnstra A.
      Prediction of post-traumatic complaints after mild traumatic brain injury: Early symptoms and biochemical markers.
      ].
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