title: [Management of children with headache in a Pediatric Emergency Department before and after the introduction of the Second International Classification of Headache Disorders (ICHD-II)].
abstract: The aim of this study was to evaluate how the management of children admitted with headache to a Pediatric Emergency Department, was modified by the introduction of the Second International Classification of Headache Disorders ( ICHD-II) published in 2004. The complexity and average costs of the services provided to patients in 2002 and 2011 were compared. The results revealed a decrease in the number of tests performed and in-hospital admissions. However, tests were more complex, and an increase in requests of specialist advice was observed. We hypothesized that this change may be related to the introduction of ICHD-II, which suggests a more rational approach to the child with headache and a better use of hospital resources.
authors.forename: Anna
authors.initials: A
authors.lastname: Gioachin
authors.forename: Elisa
authors.initials: E
authors.lastname: Fiumana
authors.forename: Anna
authors.initials: A
authors.lastname: Tarocco
authors.forename: Adriano
authors.initials: A
authors.lastname: Verzola
authors.forename: Elena
authors.initials: E
authors.lastname: Forini
authors.forename: Valentina
authors.initials: V
authors.lastname: Guerra
authors.forename: Manuela
authors.initials: M
authors.lastname: Salani
authors.forename: Raffaella
authors.initials: R
authors.lastname: Faggioli
mesh_terms: D002648:Child; D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups; D003955:Diagnostic Tests, Routine / Q000191:economics / Q000706:statistics & numerical data; D019468:Disease Management; D004636:Emergency Service, Hospital / Q000191:economics / Q000706:statistics & numerical data; D020773:Headache Disorders / Q000145:classification* / Q000191:economics / Q000628:therapy*; D017721:Hospital Costs; D006785:Hospitals, University / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy; D008511:Medicine; D010343:Patient Admission / Q000706:statistics & numerical data; D010372:Pediatrics / Q000191:economics / Q000458:organization & administration; D011859:Radiography / Q000191:economics / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000191:economics / Q000706:statistics & numerical data; D040841:Resource Allocation; D012189:Retrospective Studies; D019564:Unnecessary Procedures