TY - JOUR
T1 - A Retrospective Cohort Study of Urgent Care Visits and Revisits for Headache/Migraine
AU - Minen, Mia
AU - Zhou, Kina
AU - Lall, Ramona
AU - Friedman, Benjamin W.
N1 - Publisher Copyright:
© The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.
PY - 2020
Y1 - 2020
N2 - Objective. Increasingly, patients are seeking same-day care at urgent care (UC) facilities. Little is known about the health care utilization patterns of patients who visit UC facilities for headache and migraine. We examined the frequency of headache and migraine visits and revisits at UC facilities. Methods. We conducted a retrospective cohort study of headache not otherwise specified (NOS) and migraine visits from 67 NYC UC facilities over an eight-month period. We report descriptive analyses, the frequency of headache NOS revisits, and the elapsed time to revisits. Results. There were 10,240 patients who visited UC facilities for headache NOS or migraine within the eight-month period. The majority of patients, 6,994 (68.3%), were female, and the mean age (SD) was 35.1 (15.0) years. Most (93.9%) patients (N = 9,613) lived within 60 miles of NYC; 5.5% (N = 564) had at least one revisit, and among revisitors, there was an average (SD) of 2.2 (0.7) visits to UC facilities during the study period and an average time to revisit (SD) of 61.3 (55.2) days. Conclusions. In just eight months, there were >10,000 headache NOS and migraine visits to UC facilities in NYC, with half of revisits occurring within 90 days. Future work should examine headache management in UC facilities.
AB - Objective. Increasingly, patients are seeking same-day care at urgent care (UC) facilities. Little is known about the health care utilization patterns of patients who visit UC facilities for headache and migraine. We examined the frequency of headache and migraine visits and revisits at UC facilities. Methods. We conducted a retrospective cohort study of headache not otherwise specified (NOS) and migraine visits from 67 NYC UC facilities over an eight-month period. We report descriptive analyses, the frequency of headache NOS revisits, and the elapsed time to revisits. Results. There were 10,240 patients who visited UC facilities for headache NOS or migraine within the eight-month period. The majority of patients, 6,994 (68.3%), were female, and the mean age (SD) was 35.1 (15.0) years. Most (93.9%) patients (N = 9,613) lived within 60 miles of NYC; 5.5% (N = 564) had at least one revisit, and among revisitors, there was an average (SD) of 2.2 (0.7) visits to UC facilities during the study period and an average time to revisit (SD) of 61.3 (55.2) days. Conclusions. In just eight months, there were >10,000 headache NOS and migraine visits to UC facilities in NYC, with half of revisits occurring within 90 days. Future work should examine headache management in UC facilities.
KW - Acute Care
KW - Headache
KW - Migraine
KW - Revisits
KW - Urgent Care Visits
UR - http://www.scopus.com/inward/record.url?scp=85094935677&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85094935677&partnerID=8YFLogxK
U2 - 10.1093/PM/PNAA182
DO - 10.1093/PM/PNAA182
M3 - Article
C2 - 33118604
AN - SCOPUS:85094935677
SN - 1526-2375
VL - 21
SP - 2458
EP - 2464
JO - Pain Medicine (United States)
JF - Pain Medicine (United States)
IS - 10
ER -