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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Data
2005-11-01
Autores
Lima, MMF
Padula, NAMR
Santos, LCA
Oliveira, LDB
Agapejev, S.
Padovani, C.
Título da Revista
ISSN da Revista
Título de Volume
Editor
Blackwell Publishing
Resumo
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.
Descrição
Palavras-chave
migraine, sensitivity, specificity, children, classification criteria
Como citar
Cephalalgia. Oxford: Blackwell Publishing, v. 25, n. 11, p. 1042-1047, 2005.