{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:44:19Z","timestamp":1792097059722,"version":"4.4.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"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":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>There is a lack of data on the burden of primary headache disorders such as migraine on emergency services. Existing data relies on a coding of \u201cheadache\u201d, which encompasses both primary and secondary headache of all causes; for example, subarachnoid haemorrhage. Guy\u2019s and St Thomas\u2019 NHS Trust in London is one of the UK\u2019s busiest emergency departments with 150,000 attendances per year. Our aim was to assess the healthcare resource utilisation of primary headaches, in particular migraine, in acute medical services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an audit of all adult presentations to the emergency department of Guy\u2019s and St Thomas\u2019 Hospitals which were coded as \u201cheadache\u201d over the first 6 months of 2018. We reviewed the initial diagnosis at presentation and also at discharge, investigations and outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 78,273 attendances to the emergency department, there were 976 presentations to the emergency department with \u201cheadache\u201d as their primary complaint. \u201cMigraine\u201d was the most frequent of all diagnoses, accounting for 30% of all headache presentations and 25% of headache admissions. We calculated the cost of admitting and investigating migraine as \u00a3131,250 over the 6-month period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emergency admissions for migraine represent an avoidable cost and burden for both the hospital and the migraineur. This data informs us about the need to develop better care pathways for migraine in the community and to improve headache education for physicians and patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102420981734","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:53:58Z","timestamp":1613696038000},"page":"905-912","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["The burden of migraine on acute and emergency services in a London teaching hospital"],"prefix":"10.1177","volume":"41","author":[{"given":"Jessica","family":"Southwell","sequence":"first","affiliation":[{"name":"GKT Medical School, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8487-5677","authenticated-orcid":false,"given":"Shazia K","family":"Afridi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Guy\u2019s and St Thomas\u2019 NHS Trust, London, UK"},{"name":"King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2006.01093.x"},{"key":"e_1_3_3_3_2","unstructured":"Lucado J Paez K Elixhauser A. Headaches in US hospitals and emergency departments 2008: Statistical brief #111. Rockville MD: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK56047\/ (February 2006 accessed 22 October 2020)."},{"key":"e_1_3_3_4_2","unstructured":"NHS England. Improved NHS migraine care to save thousands of hospital stays https:\/\/www.england.nhs.uk\/2020\/01\/improved-nhs-migraine-care\/2020 (2020 accessed 22 October 2020)."},{"key":"e_1_3_3_5_2","first-page":"629","volume-title":"Cephalalgia","year":"2013","unstructured":"Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629\u2013808."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14098"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2001.041006533.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2012.02265.x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-14-97"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00448.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13062"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-019-1053-5"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.11.004"},{"key":"e_1_3_3_14_2","unstructured":"New RightCare headache and migraine toolkit for local health systems. NHS England https:\/\/www.england.nhs.uk\/rightcare\/2019\/12\/18\/new-rightcare-headache-and-migraine-toolkit-for-local-health-systems\/ (18 December 2019 accessed 22 October 2020)."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-012-0460-7"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-018-0839-1"},{"key":"e_1_3_3_17_2","unstructured":"The National Institute for Health and Care Excellence (NICE). Headaches in over 12s: Diagnosis and management -Clinical guideline [CG150] https:\/\/www.nice.org.uk\/guidance\/CG150 (2015 accessed 22 October 2020)."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-016-0613-1"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102420981734","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0333102420981734","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102420981734","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:49:01Z","timestamp":1777387741000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0333102420981734"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,18]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0333102420981734"],"URL":"https:\/\/doi.org\/10.1177\/0333102420981734","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,18]]}}}