Critical analysis of the international classification of headache disorders diagnostic criteria (ICHD I-1988) and (ICHD II-2004), for migraine in children and adolescents
Critical analysis of the international classification of headache disorders diagnostic criteria (ICHD I-1988) and (ICHD II-2004), for migraine in children and adolescents
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DOI：
10.1111/j.1468-2982.2005.00954.x
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发表时间：
2005-11-01
期刊：
影响因子：
4.9
通讯作者：
Padovani, C
中科院分区：
文献类型：
--
作者：
Lima, MMF;Padula, NAMR;Padovani, C
本研究分析了儿童和青少年的 (ICHD I-1988) 和 (ICHD II-2004) 诊断标准。我们对 1992 年至 2002 年儿童和青少年头痛门诊病房的 496 名患者进行了回顾性研究。根据三个诊断组对个体进行分类：直观临床诊断（金标准）、ICHD I-1988 和 ICHD II-2004。使用以下变量对它们进行统计比较：敏感性 (S)、特异性 (Sp)、阳性预测值 (PPV)、阴性预测值 (NPV)。当使用 ICHD I-1988 时，无先兆偏头痛和有先兆偏头痛的敏感性分别为 21% 和 27%，而在 ICHD II-2004 中则变为 53% 和 71%，但不影响特异性。总之，目前的分类标准（ICHD II-2004）对偏头痛的敏感性和特异性高于 ICHD I-1988，尽管它改善了儿童和青少年的偏头痛诊断，但敏感性仍然较差。
The present study analyzed the (ICHD I-1988) and ( ICHD II-2004) diagnostic criteria in children and adolescents. Our population consisted of 496 patients of the Headache Outpatient Ward for Children and Adolescents retrospectively studied from 1992 to 2002. Individuals were classified according to three diagnostic groups: Intuitive Clinical Diagnosis ( Gold Standard), ICHD I-1988 and ICHD II-2004. They were statistically compared using the variables: Sensitivity ( S), Specificity (Sp), Positive Predictive Value (PPV), Negative Predictive Value (NPV). When ICHD I-1988 was used, the sensitivity of migraine without and with aura was 21% and 27%, respectively, whereas in ICHD II-2004 it changed to 53% and 71% without affecting specificity. As a conclusion, the current classification criteria ( ICHD II-2004) showed greater sensitivity and high specificity for migraine than ICHD I-1988, although it improved migraine diagnosis in children and adolescents, the sensitivity remains poor.