The Sensitivity and Specificity of the Case Definition Criteria in Mersin

Author:

özge A,Bugdayci R1,Sasmaz T1,Kaleagasi H,Kurt ö1,Karakelle A,Tezcan H2,Siva A3

Affiliation:

1. Neurology and

2. Public Health Departments, Mersin University School of Medicine and Istanbul University, and

3. Cerrahpasa School of Medicine, Mersin- Istanbul, Turkey

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.

Publisher

SAGE Publications

Subject

Clinical Neurology,General Medicine

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