The Sensitivity and Specificity of the Case Definition Criteria in Mersin
- 1 December 2002
- journal article
- research article
- Published by SAGE Publications in Cephalalgia
- Vol. 22 (10), 791-798
- https://doi.org/10.1046/j.1468-2982.2002.00467.x
Abstract
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.Keywords
This publication has 31 references indexed in Scilit:
- An Epidemiologic Study of Headache Among Children and Adolescents of Southern BrazilCephalalgia, 1996
- Pain and disability in migraine or other recurrent headaches as reported by childrenEuropean Journal of Neurology, 1996
- Prevalence of headache in schoolchildren: relation to family and school factorsActa Paediatrica, 1996
- Classification of Pediatric Migraine: Proposed Revisions to the IHS CriteriaHeadache: The Journal of Head and Face Pain, 1995
- Diagnosis of Headache in Childhood and Adolescence: A Study in 437 PatientsCephalalgia, 1995
- Migraine Headaches in Adolescents: A Student Population-Based Study in MonrealeCephalalgia, 1995
- Migraine in Children – An Evaluation of the IHS CriteriaCephalalgia, 1994
- Diagnoses and Symptom Patterns in Children Presenting to a Pediatric Headache ClinicHeadache: The Journal of Head and Face Pain, 1993
- Criteria for the Diagnosis of Migraine in Clinical PracticeHeadache: The Journal of Head and Face Pain, 1991
- Flunarizine in Prophylaxis of Childhood Migraine: A Double-Blind, Placebo-Controlled, Crossover StudyCephalalgia, 1988