The sensitivity and specificity of the case definition criteria in diagnosis of headache:: a school-based epidemiological study of 5562 children in Mersin

被引:47
作者
Özge, A
Bugdayci, R
Sasmaz, T
Kaleagasi, H
Kurt, Ö
Karakelle, A
Tezcan, H
Siva, A
机构
[1] Mersin Univ, Dept Neurol, Sch Med, Mersin Istanbul, Turkey
[2] Mersin Univ, Dept Publ Hlth, Sch Med, Mersin Istanbul, Turkey
[3] Cerrahpasa Sch Med, Mersin Istanbul, Turkey
关键词
migraine; tension-type headache; headache diagnosis; childhood headache; sensitivity; specificity; positive predictive value;
D O I
10.1046/j.1468-2982.2002.00467.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The objectives of the present study were: (i) to estimate the prevalence of recurrent headaches in schoolchildren (ranging from 2nd to 5th degrees) in Mersin city of Turkey; (ii) to determine the sensitivity, specificity, positive predictive value and positive likelihood ratio of the diagnostic headache characteristics in children with migraine and tension-type headache (TTH) using neurologist's diagnosis as the gold standard. The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was 'severity of pain' and the most sensitive definitive symptom was 'duration of headache' in children with TTH. International Headache Society-based symptom definition criteria are highly beneficial in diagnosis of childhood headache, if used together with detailed clinical assessment.
引用
收藏
页码:791 / 798
页数:8
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