Hospital-based headache care during the Covid-19 pandemic in Denmark and Norway.

The journal of headache and pain 2020 Vol.21(1) p. 128

Kristoffersen ES, Faiz KW, Sandset EC, Storstein AM, Stefansen S, Winsvold BS, Hansen JM

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Abstract

[BACKGROUND] The Covid-19 pandemic is causing changes in delivery of medical care worldwide. It is not known how the management of headache patients was affected by the lockdown during the pandemic. The aim of the present study was to investigate how the initial phase of the Covid-19 pandemic affected the hospital management of headache in Denmark and Norway.

[METHODS] All neurological departments in Denmark (n = 14) and Norway (n = 18) were invited to a questionnaire survey. The study focused on the lockdown and all questions were answered in regard to the period between March 12th and April 15th, 2020.

[RESULTS] The responder rate was 91% (29/32). Of the neurological departments 86% changed their headache practice during the lockdown. The most common change was a shift to more telephone consultations (86%). Video consultations were offered by 45%. The number of new headache referrals decreased. Only 36% administered botulinum toxin A treatment according to usual schemes. Sixty% reported that fewer patients were admitted for in-hospital emergency diagnostics and treatment. Among departments conducting headache research 57% had to halt ongoing projects. Overall, 54% reported that the standard of care was worse for headache patients during the pandemic.

[CONCLUSION] Hospital-based headache care and research was impacted in Denmark and Norway during the initial phase of the Covid-19-pandemic.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 1

MeSH Terms

Betacoronavirus; Botulinum Toxins, Type A; COVID-19; Cluster Headache; Coronavirus Infections; Delivery of Health Care; Denmark; Disease Management; Headache; Headache Disorders; Hospital Departments; Hospitalization; Humans; Migraine Disorders; Neurology; Neuromuscular Agents; Norway; Outpatient Clinics, Hospital; Pandemics; Pneumonia, Viral; Referral and Consultation; SARS-CoV-2; Surveys and Questionnaires; Telecommunications; Telemedicine; Videoconferencing

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