Development of a patient-based grading scale for PedMIDAS
Development of a patient-based grading scale for PedMIDAS
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DOI：
10.1111/j.1468-2982.2004.00757.x
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发表时间：
2004-10-01
期刊：
影响因子：
4.9
通讯作者：
Kabbouche, MA
中科院分区：
文献类型：
--
作者：
Hershey, AD;Powers, SW;Kabbouche, MA
目的是开发和验证一种基于患者的PedMIDAS分级量表。对329名儿童进行了PedMIDAS，他们根据成人MIDAS评分对自己的整体残疾进行了评分。将基于患者的评分与PedMIDAS评分进行比较以制定分级量表。49.5%的人认为头痛残疾很少或没有；温和,26.7%;温和,15.8%;重度为7.9%，PedMIDAS原始评分分别为4.9 +/- 6.3、17.8 +/- 14.9、40.6 +/- 34.2和91.4 +/- 69.8。这些结果的收敛产生了一个经验推导的分级系统：一级，0-10；第二,11-30;III， 31-50和IV， bbb50。分数越高，就越需要预防性治疗。基于患者的分级量表进一步提高了PedMIDAS在评估儿童偏头痛残疾方面的实用性，从而可以广泛应用于常规临床评估和管理。
The objective was to develop and validate a patient-based grading scale for PedMIDAS. PedMIDAS was administered to 329 children, who rated their overall disability based on the adult MIDAS grades. This patient-based rating and PedMIDAS scores were compared to develop the grading scale. Headache disability was rated little to none, 49.5%; mild, 26.7%; moderate, 15.8%; and severe, 7.9%, with PedMIDAS raw scores of 4.9 +/- 6.3, 17.8 +/- 14.9, 40.6 +/- 34.2, and 91.4 +/- 69.8. Convergence of these results yielded an empirically derived grading system: Grade I, 0-10; II, 11-30; III, 31-50 and IV, > 50. Higher grades corresponded to an increased need for prophylactic treatment. A patient-based grading scale further increases the utility of PedMIDAS in assessing migraine disability in children, so that it can be widely used in routine clinical evaluation and management.