Headache (Traumatic and Non-traumatic)

Overview

CPG 8A - Headache (Traumatic and Non-traumatic)

Abstract
AUC Description Imaging Modality GRADE / Evidence Summary of Findings Risk of Bias QOE of Recommendation ICD 10 Codes
PICO #1: In adults with headache (HA), does initial neuroimaging offer clinical advantage over conservative management/usual care alone for optimal patient management? No imaging (NORAD) 2A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #2: In adults with new headache symptoms and suspected giant cell (temporal) arteritis (GCA), does imaging provide added benefit compared to clinical assessment alone for optimal diagnostic accuracy? No imaging (NORAD) 3A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #3: In adults with self-reported “sinus headache”, when should sinus CT be performed as a part of the initial diagnostic evaluation? CT of Sinuses 3B Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #4: In adults with sudden onset and severe headache should CT be the preferred modality for identifying significant intracranial pathology/abnormality for optimal patient outcome(s)? CT of Head 2A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #5: In adults with headache and minimal to mild traumatic brain injury (Glasgow coma scale 13, 14 or 15), should CT of the head be used to identify significant pathology for optimal patient management? CT of Head 2A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #6: In adults with moderate to severe head injury should initial evaluation include CT of the head/brain to identify potential surgical candidates for optimal patient outcome(s)? CT of Head 3A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO#7: In adults with persistent headache and suspected post-concussive syndrome should neuroimaging be used for optimal patient management? No imaging (NORAD) 3A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #8: In adults with headache what clinical predictors warrant MR imaging of the head for optimal patient management? MR of Head 3B Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
PICO #9: In adults with headache and suspected meningitis, what clinical predictors warrant CT of the head prior to LP (lumbar puncture) for optimal patient management? CT of Head 3A Table Table Table R51,G43.C,G44.00,G44.01, G44.02,G44.03,G44.04,G44.05, G44.1,G44.20,G44.21,G44.22, G44.30,G44.31,G44.32,G44.4, G44.51,G44.52,G44.53,G44.81
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