{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:41:00Z","timestamp":1777959660341,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the characteristics, assessment and management of older emergency department (ED) patients with non\u2010traumatic headache.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Planned sub\u2010study of a prospective, multicentre, international, observational study, which included adult patients presenting to ED with non\u2010traumatic headache. Patients aged \u226575\u00a0years were compared to those aged &lt;75\u00a0years. Outcomes of interest were epidemiology, investigations, serious headache diagnosis and outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 298 patients (7%) in the parent study were aged \u226575\u00a0years. Older patients were less likely to report severe headache pain or subjective fever (both<jats:italic>P\u00a0&lt;\u00a00.001<\/jats:italic>). On examination, older patients were more likely to be confused, have lower Glasgow Coma Scores and to have new neurological deficits (all<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Serious secondary headache disorder (composite of headache due to subarachnoid haemorrhage (SAH), intracranial haemorrhage, meningitis, encephalitis, cerebral abscess, neoplasm, hydrocephalus, vascular dissection, stroke, hypertensive crisis, temporal arteritis, idiopathic intracranial hypertension or ventriculoperitoneal shunt complications) was diagnosed in 18% of older patients compared to 6% of younger patients (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Computed tomography brain imaging was performed in 66% of patients \u226575\u00a0years compared to 35% of younger patients (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Older patients were less likely to be discharged (43% vs 63%,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older patients with headache had different clinical features to the younger cohort and were more likely to have a serious secondary cause of headache than younger adults. There should be a low threshold for investigation in older patients attending ED with non\u2010traumatic headache.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.12999","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T01:01:26Z","timestamp":1632790886000},"page":"126-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical presentation and assessment of older patients presenting with headache to emergency departments: A multicentre observational study"],"prefix":"10.1111","volume":"41","author":[{"given":"Sierra","family":"Beck","sequence":"first","affiliation":[{"name":"Department of Medicine Dunedin School of Medicine University of Otago Dunedin New Zealand"},{"name":"Emergency Department Dunedin Hospital Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances B.","family":"Kinnear","sequence":"additional","affiliation":[{"name":"Emergency &amp; Children's Services The Prince Charles Hospital Chermside Qld Australia"},{"name":"Department of Medicine University of Queensland St Lucia Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Maree Kelly","sequence":"additional","affiliation":[{"name":"Joseph Epstein Centre for Emergency Medicine Research @ Western Health Sunshine, Melbourne Vic. 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