Clinic-based characterization of continuous headache in children and adolescents: Comparing youth with chronic migraine to those with new daily persistent headache
Clinic-based characterization of continuous headache in children and adolescents: Comparing youth with chronic migraine to those with new daily persistent headache
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DOI：
10.1177/0333102420920644
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发表时间：
2020-04-26
期刊：
影响因子：
4.9
通讯作者：
Hershey, Andrew D.
中科院分区：
文献类型：
--
作者：
Reidy, Brooke L.;Riddle, Emily J.;Hershey, Andrew D.
目的描述一个大样本的寻求治疗的持续性头痛青年的头痛特征和功能障碍，并在慢性偏头痛和新的每日持续性头痛的诊断亚组中比较这些因素。（例如诊断、头痛特征、药物过度使用，功能性残疾），从最初出现在多学科头痛中心的患有持续头痛的患者的大数据库中。慢性偏头痛和新的每日持续性头痛的亚组分析的患者纳入临床诊断的基础上使用国际头痛疾病分类（ICHD）criteria.ResultsThe目前的样本包括1170青年（平均年龄= 13.95岁，78.8%的女性）与持续头痛。这些年轻人中的绝大多数患有偏头痛，无论他们的临床诊断如何。慢性偏头痛的青年人报告的持续头痛症状的历史较长，头痛发作的年龄较早，比每天新发持续头痛的青年人更容易过度使用药物。大多数青年与持续头痛经历了严重的偏头痛相关的功能障碍，无论诊断subtype.ConclusionsOverall，青年与持续慢性偏头痛和新的每日持续性头痛没有临床意义的差异，头痛的功能和相关的残疾。研究结果表明，慢性偏头痛和新的每日持续性头痛可能是同一基础疾病的变体。
ObjectiveTo describe the headache characteristics and functional disability of a large sample of treatment-seeking youth with continuous headache and compare these factors across diagnostic subgroups of chronic migraine and new daily persistent headache.MethodsThis retrospective study utilized clinical information (e.g. diagnosis, headache features, medication overuse, functional disability) from a large data repository of patients initially presenting to a multidisciplinary headache center with continuous headache. Patient inclusion in subgroup analyses for chronic migraine and new daily persistent headache was based on clinician diagnosis using International Classification of Headache Disorders (ICHD) criteria.ResultsThe current sample included 1170 youth (mean age = 13.95 years, 78.8% female) with continuous headache. The overwhelming majority of these youth had headaches with migrainous features, regardless of their clinical diagnosis. Youth with chronic migraine reported a longer history of continuous headache symptoms and earlier age of headache onset than youth with new daily persistent headache and were more likely to have medication overuse. Most youth with continuous headache experienced severe migraine-related functional disability, regardless of diagnostic subgroup.ConclusionsOverall, youth with continuous chronic migraine and new daily persistent headache did not have clinically meaningful differences in headache features and associated disability. Findings suggest that chronic migraine and new daily persistent headache may be variants of the same underlying disease.