• Emerg Med Australas · Aug 2022

    Is headache during pregnancy a higher risk for serious secondary headache cause? A HEAD study report.

    • Anne-Maree Kelly, Kevin H Chu, Win Sen Kuan, Gerben Keijzers, Frances B Kinnear, Alejandro Cardozo-Ocampo, and HEAD Study and HEAD Colombia Investigators.
    • Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2022 Aug 1; 34 (4): 629-631.

    ObjectivesPregnancy is defined as a 'red flag' in headache assessment. We aimed to describe the prevalence and causes of serious secondary headache in pregnant ED patients.MethodsUnplanned secondary analysis of HEAD Study/HEAD Colombia data.Results3.2% (117/3643) of ED headache patients aged 18-50 years were pregnant, of whom six (5.1%) had a serious secondary cause identified. The proportion of patients with serious headache causes was not significantly different between pregnant female, non-pregnant female and male patient subgroups (P = 0.89).ConclusionInclusion of pregnancy as a 'red flag' in ED headache assessment is not supported by these data.© 2022 Australasian College for Emergency Medicine.

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