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

Ozge A., Bugdayci R., Sasmaz T., Kaleagasi H., Kurt O., Karakelle A., ...Daha Fazla

CEPHALALGIA, cilt.22, sa.10, ss.791-798, 2002 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 10
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1046/j.1468-2982.2002.00467.x
  • Dergi Adı: CEPHALALGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.791-798
  • Anahtar Kelimeler: migraine, tension-type headache, headache diagnosis, childhood headache, sensitivity, specificity, positive predictive value, CHILDHOOD MIGRAINE, PEDIATRIC MIGRAINE, PREVALENCE, AGE, ADOLESCENTS, POPULATION
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır

Özet

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.