A randomized trial of telemedicine efficacy and safety for nonacute headaches

Source: Müller et al. 2017 - Pubmed ID: 28615434

Setting: Norway, Single center and University Hospital

Study design:

RCT

 

Follow-up: 12 months

Patient group:

Sample size:
Total: 409(291)
IG: 205(151)
CG: 204(140)

 

Inclusion criteria:

  • Referral to neurologist for non-acute headache diagnostic clarification and/or treatment
  • Lack of abnormal findings on neurological examination and/or imaging
Type of technology:

Videoconsultation

  • Diagnosis or treatment of non-acute headaches
Intervention:

Intervention: Comparing telemedicine to normal consultations for diagnosing and treating non-acute headaches – 12 month follow-up

 

Duration: 1 consultation, 12 month follow-up
Add on:

 

Control group: Usual Care

Clinical effect/ Patient safety:

Clinical effect:

  • Headache Impact Test-6 →
  • Visual Analogue Scale →
  • Headache days/month →
  • Painkillers and triptan use →
  • Unchanged working status↑ (better in control group)

 

Patient safety:

  • Secondary headaches →
  • Requisitioned brain imaging results →
  • Hospitalizations →
  • Compliance →
Patient experiences/ Staff experiences:

Patient experiences: NA

 

Staff experiences: NA

Costs and organization:

Investment:

Equipment/Materials

  • Videoconsultations

 

Running: NA

 

Organization: NA

 

Health care utilization:

  • Hospitalizations →
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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)