Introduction Considering the high prevalence of headache, it is necessary a study about the effectiveness of the care of patients with headache by medical resident in Emergency Care Units (EDU) and medical outpatient clinics. Objective The objective of this study was to analyze the effectiveness of care in EDUs, outpatient clinics and medical wards and the management of patients with headache complaints. Method The study was observational descriptive (cross-sectional cohort) through the application of an online questionnaire answered by the medical residents. Results There were 115 residents who answered the survey. In the group of residents who see patients with headache (n=95) the number of visits was 4.87 per week. The resident's idea is that headaches are symptoms of an underlying disease in 49.5% of them. On the question about feeling able to differentiate primary from secondary headaches, 50% of the residents said yes. On the question, "Is Migraine the same as Headache?" 6.1% answered yes. On the question, "Would you use morphine derivatives to treat headache?" 19.1% of the residents answered that they would. On the question about having knowledge about the harms of using morphine derivatives in headache, 60% answered that they did not have in-depth knowledge or that they have no knowledge. In this sample of residents, 74/115 (65%) suffer from headache. Only 36/115 (31%) of the residents sought care because of the headache. Of the residents, 3/115 (2.6%) have chronic daily headache. In the question about knowing what is "chronic daily headache" and from medication overuse, about 35% do not know or did not delve into the concept. Conclusion We conclude that there is a lack of teaching about types of headaches, criteria for diagnosis and treatment. Urgent modifications should be made in the medical course to enable newly graduated doctors to diagnose and treat patients with headache.
Introduction Headaches are pains in any region of the head with variable intensity, as well as its location. They can be localized or diffuse, acute or chronic, associated or not with other symptoms and have numerous causes.More than 90% of people report a history of headache during their lifetime. In addition, an overload is observed in emergency units and outpatient clinics due to inadequate initial care for a headache. Objective 1) Conduct an epidemiological survey of headache care in emergency care units, analyzing the conduct of resident physicians. 2) Estimate the resolvability of headache cases in the emergency room and provide actions through continuing education if a deficiency in the care provided by professionals is demonstrated. Methods This is a descriptive observational study (cross-sectional cohort) in which we applied an online questionnaire to resident physicians who will be providing treatment in general to the patients in the city of Catanduva and neighboring cities. This is a semi-structured interview aided with self-administrated questionnaire (annexed in online in private cloud to guarantee confidentiality) which was sent via email and WhatsApp. Before joining the study, the participants filled out the informed consent form. After applying the forms, Excel spreadsheet was generated in order to process the statistical analysis. The inclusion criteria was: be a resident physician in any area of activity. The exclusion criteria: resident withdrawal at any time during the study. Number of the project in the ethics committee: 44857315.5.0000.5430 Results A total of 115 residents physicians answered the questionnaire. The average age is 27,6 years and the majority are specializing in Clinical Surgery, Internal Medicine and Clinical Specialties. Twenty residents reported they didn't see any headache patient and the other 95 cared weekly for an average of 4,87 patients with... (To see the complet abstract, please, check out the PDF.)
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