Mia Minen1, Kina Zhou2, Ramona Lall3, Benjamin W Friedman4. 1. Department of Neurology and Population Health, NYU Langone Health, New York, New York. 2. University of Rochester School of Medicine, Rochester, New York. 3. NYC Department of Health and Mental Hygiene, New York, New York. 4. Department of Emergency Medicine, Montefiore Medical Center, New York, New York, USA.
Abstract
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 re-visitors, 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.
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 re-visitors, 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.
Authors: Anish K Agarwal; Kevin Mahoney; Amy L Lanza; Elissa V Klinger; David A Asch; Nick Fausti; Christopher Tufts; Lyle Ungar; Raina M Merchant Journal: Ann Emerg Med Date: 2018-11-02 Impact factor: 5.721
Authors: Mia T Minen; Kate Lindberg; Rebecca E Wells; Joji Suzuki; Corita Grudzen; Laura Balcer; Elizabeth Loder Journal: Headache Date: 2015-08-28 Impact factor: 5.887
Authors: Andrew P Wilper; Steffie Woolhandler; Karen E Lasser; Danny McCormick; Sarah L Cutrona; David H Bor; David U Himmelstein Journal: Health Aff (Millwood) Date: 2008-01-15 Impact factor: 6.301
Authors: Mia T Minen; Dennique Khanns; Jenny Guiracocha; Annika Ehrlich; Fawad A Khan; Ashhar S Ali; Marius Birlea; Niranjan N Singh; Addie Peretz; I V Larry Charleston Journal: BMC Health Serv Res Date: 2022-02-08 Impact factor: 2.655