{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:06:57Z","timestamp":1787018817557,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T00:00:00Z","timestamp":1513641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the red flags for serious organic causes of headache in children, to analyze if the management of headache in the Pediatric Emergency Department is appropriate, and whether the follow-up may limit repeated visits to the Emergency Department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All the patients\u2009\u2264\u200918 years referred to our pediatric Emergency Department for non-traumatic headache over 5 years were retrospectively reviewed. The patients followed up by the Pediatric Headache Centre were also screened. Statistical analysis was undertaken using the Chi-squared test or Fisher\u2019s exact test and multivariate analysis; significance at p\u2009&lt;\u20090.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1833 patients (54.6% males) accessed our Emergency Department 2086 times; 62.1% had primary headache, 30.0% had secondary headache, 7.8% received inconsistent diagnosis. Among those with secondary headache, 24 (1.1% of total visits) were diagnosed with serious disorders. The clinical red flags for \u201cserious headache\u201d were: Cranial nerves palsy, strabismus, and drowsiness. One hundred and eighty four patients (8.8 %) underwent neuroimaging (rate of pathological findings: 7.1 %); 37.2 % of the patients received analgesic therapy. One hundred and fifteen patients (6.2 %) returned within three months; 24 of these were referred to the Headache Centre, with only one accessing the Emergency Department again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The vast majority of headaches referred to the Pediatric Emergency Department are benign, and primary forms prevail. \u201cSerious headache\u201d is rare and shows typical clinical features and abnormal neurologic evaluation; specific clinical red flags, along with suggestive personal history, should lead the pediatrician to prescribe only appropriate neuroimaging. Pain relief is still insufficient in the Pediatric Emergency Department despite appropriate guidelines. Last, the collaboration with the Headache Centre is crucial to limit repeated visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102417748907","type":"journal-article","created":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T06:09:03Z","timestamp":1513663743000},"page":"1765-1772","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Headache in the pediatric emergency department: A 5-year retrospective study"],"prefix":"10.1177","volume":"38","author":[{"given":"Roberta","family":"Rossi","sequence":"first","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Versace","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Lauria","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Grasso","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Castagno","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvio","family":"Ricceri","sequence":"additional","affiliation":[{"name":"Unit of Cancer Epidemiology, Department of Medical Sciences, University of Turin, Turin, Italy"},{"name":"Unit of Epidemiology, Regional Health Service, ASL TO3, Grugliasco (TO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosaura","family":"Pagliero","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio F","family":"Urbino","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza di Torino, Regina Margherita Children\u2019s Hospital, Department of Pediatric Emergency, Pediatric Headache Centre, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,19]]},"reference":[{"key":"bibr1-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3282f1a07f"},{"key":"bibr2-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.59.4.490"},{"key":"bibr3-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-014-1738-0"},{"key":"bibr4-0333102417748907","first-page":"853","volume":"18","author":"Babineau SE","year":"2012","journal-title":"Continuum"},{"key":"bibr5-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1053\/spen.2001.23331"},{"key":"bibr6-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2000.00004.x"},{"key":"bibr7-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-008-0014-1"},{"key":"bibr8-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2007.01052.x"},{"key":"bibr9-0333102417748907","doi-asserted-by":"publisher","DOI":"10.2310\/8000.2014.141409"},{"key":"bibr10-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2013.09.008"},{"key":"bibr11-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3150"},{"key":"bibr12-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199702000-00001"},{"key":"bibr13-0333102417748907","doi-asserted-by":"crossref","unstructured":"The International Classification of Headache Disorders, 3rd edition (beta version).\n                      Cephalalgia\n                      2013; 33: 629\u2013808.","DOI":"10.1177\/0333102413485658"},{"key":"bibr14-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3862"},{"key":"bibr15-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-013-2692-3"},{"key":"bibr16-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1177\/1971400915602801"},{"key":"bibr17-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000027"},{"key":"bibr18-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1177\/0333102415598758"},{"key":"bibr19-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1111\/head.12399"},{"key":"bibr20-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.06.023"},{"key":"bibr21-0333102417748907","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1111\/j.1742-6723.2009.01184.x","volume":"21","author":"Herd DW","year":"2009","journal-title":"Emerg Med Australas"},{"key":"bibr22-0333102417748907","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-139"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102417748907","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0333102417748907","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102417748907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:47:48Z","timestamp":1777387668000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0333102417748907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,19]]},"references-count":22,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1177\/0333102417748907"],"URL":"https:\/\/doi.org\/10.1177\/0333102417748907","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,19]]}}}