In this large cohort of patients with acute headache, a number of clinical variables could predict SAH with 100% sensitivity (contained in 1 of 3 different algorithms), including: age>40, neck pain/stiffness, witnessed loss of consciousness, headache onset with exertion, arrival by ambulance, vomiting, SBP>160 or DBP>100. If any of these are present, evaluation for SAH is warranted. In this cohort, the use of these predictors could have reduced the need for SAH evaluation (CT and LP) by about 10-20% (abstract)
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November 10, 2010 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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