Development and Validation of the Cluster Headache Screening Questionnaire
- 주제(키워드) cluster headache , diagnosis , migraine , prevalence , questionnaire , screening
- 주제(기타) Clinical Neurology
- 설명문(일반) [Chung, Pil-Wook; Moon, Heui-Soo] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Neurol, Seoul, South Korea; [Cho, Soo-Jin] Hallym Univ, Coll Med, Dongtan Sacred Heart Hosp, Dept Neurol, 7 Keunjaebong Gil, Hwaseong 18450, South Korea; [Kim, Byung-Kun] Eulji Univ, Eulji Hosp, Dept Neurol, Seoul, South Korea; [Kim, Soo-Kyoung] Gyeonsang Natl Univ, Coll Med, Dept Neurol, Jinju, South Korea; [Lee, Mi Ji; Chung, Chin-Sang] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Neurol,Neurosci Ctr, Seoul, South Korea; [Choi, Yun-Ju] Presbyterian Med Ctr, Dept Neurol, Jeonju, South Korea; [Park, Jeong Wook] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Neurol, Uijongbu, South Korea; [Kim, Byung-Su] Bundang Jesaeng Gen Hosp, Daejin Med Ctr, Dept Neurol, Seongnam, South Korea; [Oh, Kyungmi] Korea Univ, Coll Med, Dept Neurol, Seoul, South Korea; [Song, Tae-Jin] Ewha Womans Univ, Coll Med, Dept Neurol, Seoul, South Korea; [Kang, Danbee; Cho, Juhee] Sungkyunkwan Univ, SAIHST, Dept Clin Res Design & Evaluat, Seoul, South Korea; [Kang, Danbee; Cho, Juhee] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Ctr Clin Epidemiol, Seoul, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- OA유형 gold, Green Published, Green Submitted
- 발행기관 KOREAN NEUROLOGICAL ASSOC
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000160473
- 본문언어 영어
- Published As http://dx.doi.org/10.3988/jcn.2019.15.1.90
- PubMed https://pubmed.ncbi.nlm.nih.gov/30618222
초록/요약
Background and Purpose Cluster headache (CH) is frequently either not diagnosed or the diagnosis is delayed. We addressed this issue by developing the self-administered Cluster Headache Screening Questionnaire (CHSQ). Methods Experts selected items from the diagnostic criteria of CH and the characteristics of migraine. The questionnaire was administered to first-visit headache patients at nine headache clinics. The finally developed CHSQ included items based on the differences in responses between CH and non-CH patients, and the accuracy and reliability of the scoring model were assessed. Results Forty-two patients with CH, 207 migraineurs, 73 with tension-type headache, and 18 with primary stabbing headache were enrolled. The CHSQ item were scored as follows: 3 points for ipsilateral eye symptoms, agitation, and duration; 2 points for clustering patterns; and 1 point for the male sex, unilateral pain, disability, ipsilateral nasal symptoms, and frequency. The total score of the CHSQ ranged from 0 to 16. The mean score was higher in patients with CH than in non-CH patients (12.9 vs. 3.4, p<0.001). At a cutoff score of >8 points, the CHSQ had a sensitivity, specificity, positive predictive value, and negative predictive value of 95.2%, 96%, 76.9%, and 99.3%, respectively. Conclusions The CHSQ is a reliable screening tool for the rapid identification of CH.
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