Stepwise web-based questionnaires for diagnosing cluster headache: LUCA and QATCH

Cephalalgia ◽  
2013 ◽  
Vol 33 (11) ◽  
pp. 924-931 ◽  
Author(s):  
Leopoldine A Wilbrink ◽  
Claudia M Weller ◽  
Carlo Cheung ◽  
Theo Stijnen ◽  
Joost Haan ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cluster Headache ◽  
Predictive Value ◽  
Large Scale ◽  
International Headache Society ◽  
Primary Headache ◽  
Headache Disorder ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Web Based

Background Cluster headache (CH) is a primary headache disorder that is diagnosed based on the patient's history. For large-scale epidemiologic and genetic studies, a web-based, preferably short, questionnaire can be a feasible alternative to replace time-consuming clinical interviews. Methods Self-reported CH patients were enrolled via our research website. Participants meeting screening criteria were directed to the Leiden University Cluster headache Analysis program (LUCA) questionnaire. Individual diagnoses were calculated using an algorithm based on International Headache Society criteria. Subsequently, semi-structured telephone interviews were carried out to validate the LUCA questionnaire. The shorter Quick Ascertainment of Cluster Headache (QATCH) questionnaire for diagnosing CH was constructed by using logistic regression to select the most predictive questions. Results Via our website 437 self-reported CH patients were recruited. Of these, 291 patients were included in this cross-sectional study. The LUCA questionnaire was valid and accurate. Using logistic regression, three questions (QATCH) provided similar sensitivity (53.8% vs. 57.2%), specificity (88.9% vs. 87.5%), positive predictive value (95.5% vs. 95.9%) and negative predictive value (30.8% vs. 28.8%) compared with the LUCA questionnaire. Conclusion The web-based LUCA questionnaire was accurate and reliable in diagnosing CH among self-reported patients. Males with headache attacks of short duration and long headache-free intervals (months to years) are very likely to have CH.

scholarly journals Cluster Headache - Incidence and Its Association with Age, Gender and Triggers

2021 ◽  
Vol 10 (9) ◽  
pp. 604-607
Author(s):  
Abinayaah Suresh ◽  
Gitanjali Narendran ◽  
Sambandhan Alandur Paramasivan ◽  
Haribalan Lakshmanasamy
Keyword(s):  
Cluster Headache ◽  
Disease Process ◽  
Rare Condition ◽  
Primary Headache ◽  
Headache Disorder ◽  
Cross Sectional Study ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Key Words Cluster Headache

BACKGROUND Cluster headache is an unusual but particularly painful and crippling primary headache disorder with a prevalence of 1 in 1000 making study of the disease process a difficult task to master. These headaches are always unilateral characterised by recurrent short-lasting attacks of 15 - 180 minutes associated with ipsilateral autonomic signs. The diagnosis is mainly clinical, and it continues to be managed sub optimally as the chance of coming across such a condition is few and far between. This study was conducted to determine the incidence of cluster headache in a hospital population and study its association with age, gender and triggers. METHODS This is a cross sectional study of a total of 100 patients attending our Otorhinolaryngology department from June 2017 to June 2018 at Sri Muthukumaran Medical College Hospital & Research Centre with primary complaints of headache. Prior ethical committee clearance was obtained. Patients with chronic debilitating illness, chronic rhino sinusitis, headache following trauma or the presence of fever or any other acute illness were excluded from this study. The results were interpreted using Statistical Package for Social Sciences (SPSS) version 17. RESULTS Out of the total number of 100 patients with headache, only one patient, a 40-yearold male was diagnosed with cluster headache. CONCLUSIONS Hence, we conclude that the incidence of cluster headache in the total of 100 patients is only 1 % which makes it a quite rare condition. Diagnosis is clinical, hence effective history taking is mandatory. KEY WORDS Cluster Headache, Primary Headache, Trigeminal Autonomic Cephalgia, Cluster Attacks

Headache Prevalence Among Adolescents — The German DMKG Headache Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
K Fendrich ◽  
M Vennemann ◽  
V Pfaffenrath ◽  
S Evers ◽  
A May ◽  
...  
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Population Based ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Primary Headache Disorders ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

This population-based cross-sectional study examined the 3-month prevalence of headache, migraine and tension-type headache (TTH) among adolescents aged 12-15 years in Germany Students ( n = 3324) from 20 schools completed a questionnaire on general and headache-specific pain which included a sociodemographic module. The headache-specific questionnaire complied with the respective revised criteria of the International Headache Society (IHS). 'Modified criteria' changed the item 'duration' in migraine (>30 min instead of >4 h). The overall 3-month prevalence of headache was 69.4% (boys 59.5%, girls 78.9%), with 4.4% of the adolescents suffering from frequent (≥ 14 days/3 months) and severe (grade 8-10 on a 10-point visual analogue scale) headache and 1.4% (boys 0.9%, girls 1.9%) from headache ≥15 days/month. The 3-month prevalence of migraine was 2.6% (boys 1.6%, girls 3.5%) applying strict IHS criteria and 6.9% (boys 4.4%, girls 9.3%) with modified criteria; 12.6% (boys 8.3%, girls 16.7%) suffered from probable migraine, 0.07% fulfilled the criteria for chronic migraine, 4.5% (boys 4.6%, girls 4.3%) suffered from TTH, 0.2% from chronic TTH and 15.7% (boys 14.5%, girls 16.9%) from probable TTH. Headache and migraine were more common in girls than in boys and in teenagers, especially in girls, aiming at higher education. Recurrent headache and primary headache disorders are common complaints among German adolescents, especially among girls.

scholarly journals Investigation of Frequency of the Lethal Triad and Its 24 Hours Prognostic Value among Patients with Multiple Traumas

2019 ◽  
Vol 7 (6) ◽  
pp. 962-966 ◽  
Author(s):  
Iraj Goli Khatir ◽  
Farzad Bozorgi ◽  
Hesam Ghanbari ◽  
Fatemeh Jahanian ◽  
Mohsen Arabi ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Predictive Value ◽  
Coagulation Factors ◽  
Cross Sectional Study ◽  
Care Plan ◽  
Cross Sectional ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Lethal Triad ◽  
Multiple Traumas

BACKGROUND: Death in multiple trauma (MT) patients is one of the serious concerns of the medical service provider. Any prediction of the likelihood of death on the assessment of the patient's condition is performed using different variables, one of the tools in the triage of patients to determine their condition. AIM: We aimed to investigate the frequency and the predictive value of death in 24 hours triad of death in patients qualified with multiple traumas admitted to Imam Khomeini hospital. METHODS: This was a prospective cross-sectional study to determine the prevalence and predictive value of 24-hour triad of death among patients with MT referred to an emergency department. Three factors including acidosis, hypothermia and coagulopathy and predictive value of 24-hour death were evaluated. Arterial blood gas, oral temperature and blood samples for coagulation factors were analysed. Data were analysed using SPSS version 19. Multivariate analysis (logistic regression) was used to determine the predictive value of the triad of death. RESULTS: A group of 199 MT patients referring to Imam Khomeini hospital during the first 6 months of 2015 were evaluated for the first 24 hours of admission. Logistic regression analysis showed that using the following formula based on the triad of death can predict death in 96% of cases can be based on the triad of a death foretold death upon admission to the emergency room. It should be noted that this prediction tool as 173 people left alive after 24 hours as live predicts (100% correct). CONCLUSION: The triad of death is one of the tools in the triage of patients to determine their condition and care plan to be used, provided valuable information to predict the prognosis of patients with a medical team.

scholarly journals Association and Predictive Value Analysis for Resting Heart Rate and Diabetes Mellitus on Cardiovascular Autonomic Neuropathy in General Population

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Zi-Hui Tang ◽  
Fangfang Zeng ◽  
Zhongtao Li ◽  
Linuo Zhou
Keyword(s):  
General Population ◽  
Predictive Value ◽  
Large Scale ◽  
Reference Group ◽  
Characteristic Curve ◽  
Predictive Performance ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Value Analysis

Background.The purpose of this study was to evaluate the predictive value of DM and resting HR on CAN in a large sample derived from a Chinese population.Materials and Methods.We conducted a large-scale, population-based, cross-sectional study to explore the relationships of CAN with DM and resting HR. A total of 387 subjects were diagnosed with CAN in our dataset. The associations of CAN with DM and resting HR were assessed by a multivariate logistic regression (MLR) analysis (using subjects without CAN as a reference group) after controlling for potential confounding factors. The area under the receiver-operating characteristic curve (AUC) was used to evaluate the predictive performance of resting HR and DM.Results.A tendency toward increased CAN prevalence with increasing resting HR was reported (Pfor trend<0.001). MLR analysis showed that DM and resting HR were very significantly and independently associated with CAN (P<0.001for both). Resting HR alone or combined with DM (DM-HR) both strongly predicted CAN (AUC = 0.719, 95% CI 0.690–0.748 for resting HR and AUC = 0.738, 95% CI 0.710–0.766 for DM-HR).Conclusion.Our findings signify that resting HR and DM-HR have a high value in predicting CAN in the general population.

scholarly journals Influence of Main Ocular Variables in #TheDress Perception: An Ophthalmic Survey

Perception ◽  
2021 ◽  
Vol 50 (4) ◽  
pp. 367-378
Author(s):  
Julio González-Martín-Moro ◽  
Inés Contreras ◽  
Irene Fuentes-Vega ◽  
Francisco Prieto-Garrido ◽  
María Castro-Rebollo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Predictive Value ◽  
Area Under The Curve ◽  
Crystalline Lens ◽  
Cross Sectional Study ◽  
Nuclear Cataract ◽  
Predictive Capacity ◽  
Cross Sectional ◽  
Low Area ◽  
Ocular Health

The objective of this study is to study the influence of ocular variables in the perception of #thedress and to develop a logistic regression model that could help predict it. This is a cross-sectional study on 1,100 subjects. People who did not report one of the two main perceptions were excluded from the study. Dress perception was codified as 0 (white&gold) or 1 (black&blue). The association between dress perception and demographic and main ocular variables (age, gender, binocular visual acuity, grade of nuclear cataract, crystalline lens status [phakic/pseudophakic], spherical equivalent, and ocular health status) was tested using logistic regression. Receiver operation curves were used to test the predictive value of the model. Several variables were found to be related with dress perception. The best model included three variables—Age: adjusted odds ratio (OR) = 1.02 (1.01–1.03), p = 0.08; ocular refraction: adjusted OR = 1.07 (1.02–1.12), p = 0.009; and nuclear cataract grade: adjusted OR = 1.45 (1.05–1.99), p = 0.026. The predictive value of the model was low (area under the curve = 0.62). Older age, nuclear cataract grade, and hyperopia were associated with black&blue perception. The predictive capacity of the developed model was poor. Only a small proportion of the variability in the #thedress perception can be explained by ocular examination.

scholarly journals Frequency of Sexual Intercourse Among the Residents of Bangladesh, India, and Nepal: A Cross-Sectional Web-Based Pilot Study

2021 ◽  
pp. 263183182098541
Author(s):  
S. M.  Yasir Arafat ◽  
Sujita Kumar Kar ◽  
Pawan Sharma ◽  
Angi Alradie-Mohamed ◽  
Russell Kabir
Keyword(s):  
Sexual Intercourse ◽  
South Asian ◽  
Large Scale ◽  
Married Couples ◽  
Well Being ◽  
Cross Sectional Study ◽  
Asian Countries ◽  
Cross Sectional ◽  
Web Based ◽  
Sexual Contacts

Background: Sexual intercourse is one of the important components of well-being, especially in married couples. There is a dearth of baseline research and data regarding the sexual habits of residents in South-East Asia. Objective: We aimed to see the baseline frequency of sexual intercourses among the residents of 3 South Asian countries (Bangladesh, India, and Nepal). Methods: This web-based cross-national, cross-sectional study was done among the residents of Bangladesh, India, and Nepal through Google forms. Married individuals who were living with their spouses were invited to respond to the survey. Results: A total of 120 respondents participated in this survey of which 46.7%, 38.3%, and 15% of respondents were from India, Nepal, and Bangladesh, respectively. The mean of the weekly sexual intercourse was 2.23 (range: 0-8) among the total respondents; 2.70 (range: 0-7) among the Nepalese, 2.32 (range: 0-5) among the Bangladeshis, and 1.82 (range: 0-8) among the Indians. The differences were not statistically significant. Conclusion: This study revealed very baseline and preliminary excerpts of sexual intercourse habit among the residents of 3 South Asian countries. There is a geographical variation in regard to the sexual contacts. Further, large-scale well-designed studies are warranted to explore the behavior.

scholarly journals Clinical symptoms of androgen deficiency in men with migraine or cluster headache: a cross-sectional cohort study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Iris E. Verhagen ◽  
Roemer B. Brandt ◽  
Carlijn M. A. Kruitbosch ◽  
Antoinette MaassenVanDenBrink ◽  
Rolf Fronczek ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Linear Models ◽  
Clinical Symptoms ◽  
Primary Headache ◽  
Headache Disorder ◽  
Mean Difference ◽  
Secondary Outcome ◽  
Androgen Deficiency ◽  
Cross Sectional ◽  
Sexual Symptoms

Abstract Background To compare symptoms of clinical androgen deficiency between men with migraine, men with cluster headache and non-headache male controls. Methods We performed a cross-sectional study using two validated questionnaires to assess symptoms of androgen deficiency in males with migraine, cluster headache, and non-headache controls. Primary outcome was the mean difference in androgen deficiency scores. Generalized linear models were used adjusting for age, BMI, smoking and lifetime depression. As secondary outcome we assessed the percentage of patients reporting to score below average on four sexual symptoms (beard growth, morning erections, libido and sexual potency) as these items were previously shown to more specifically differentiate androgen deficiency symptoms from (comorbid) anxiety and depression. Results The questionnaires were completed by n = 534/853 (63%) men with migraine, n = 437/694 (63%) men with cluster headache and n = 152/209 (73%) controls. Responders were older compared to non-responders and more likely to suffer from lifetime depression. Patients reported more severe symptoms of clinical androgen deficiency compared with controls, with higher AMS scores (Aging Males Symptoms; mean difference ± SE: migraine 5.44 ± 0.90, p <  0.001; cluster headache 5.62 ± 0.99, p <  0.001) and lower qADAM scores (quantitative Androgen Deficiency in the Aging Male; migraine: − 3.16 ± 0.50, p <  0.001; cluster headache: − 5.25 ± 0.56, p <  0.001). Additionally, both patient groups more often reported to suffer from any of the specific sexual symptoms compared to controls (18.4% migraine, 20.6% cluster headache, 7.2% controls, p = 0.001). Conclusion Men with migraine and cluster headache more often suffer from symptoms consistent with clinical androgen deficiency than males without a primary headache disorder.

An Epidemiologic Study of Headache Among Children and Adolescents of Southern Brazil

Cephalalgia ◽  
1996 ◽  
Vol 16 (8) ◽  
pp. 545-549 ◽  
Author(s):  
LM Barea ◽  
M Tannhauser ◽  
NT Rotta
Keyword(s):  
International Headache Society ◽  
Age Distribution ◽  
Epidemiologic Study ◽  
Public Health Problem ◽  
Population Group ◽  
Headache Disorder ◽  
Cross Sectional Study ◽  
Female Group ◽  
Headache Disorders ◽  
Cross Sectional

To study the epidemiology of pediatric headache, we conducted a cross-sectional study of a randomized and proportional sample of 538 male and female students, 10 to 18 years old. They were in the 5th to 8th grade of the schools of Porto Alegre, RS Brazil. The headache disorders were classified on the basis of clinical interview as well as a physical and neurological examination using the operational diagnostic criteria of the International Headache Society (IHS The following headache prevalences were found: lifetime, 93.2%; last year, 82.9%; last week, 31.4%; last 24 h, 8.9%. Last week and last 24 h headache complaints were twice as prevalent in the female group. During the last year the prevalence of headache disorders was 72.8% for tension-type and 9.9% for migraine headache and was not associated with age distribution. Only the last year and last week prevalences of tension-type headache were significantly higher in the female group. The last year prevalence of headache disorder-proved to be positively associated with sex and age variables. The prevalence of headache disorders was found to be extremely high in this population group, requiring more attention on the part of investigators as a public health problem.

scholarly journals Association of Migraine and Irritable Bowel Syndrome in Saudi Arabia: A Nationwide Survey.

2021 ◽  
Author(s):  
Khalid A. Bin Abdulrahman ◽  
Nawaf S. Alenazi ◽  
Saad B. Albishri ◽  
Faisal F. Alshehri
Keyword(s):  
Saudi Arabia ◽  
Irritable Bowel Syndrome ◽  
Strong Association ◽  
Primary Headache ◽  
Headache Disorder ◽  
Nationwide Survey ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Headache Disorder ◽  
Irritable Bowel

Migraine is a primary headache disorder with a prevalence of 11.6% globally and 27% in Saudi Arabia. Irritable bowel syndrome has a prevalence of 9.2% worldwide. The prevalence of IBS has not been established nationally. However, provincial studies for both migraine and IBS have been conducted across the nation. There is a significant link between migraines and IBS globally. This identifies an association that needs to be investigated in a nationwide manner. This study aims to observe the association and the relationship between migraine and irritable bowel syndrome in Saudi Arabia. A cross-sectional study was conducted between March 2021 to June 2021 among the general population of Saudi Arabia, whose ages are 15 years old or greater. The data collection tools included MS-Q for migraine symptoms, MIGSEV scale for severity of migraine, and The IBS module of the Rome IV Diagnostic Questionnaire (R4DQ) for IBS symptoms and its subtype. With a total of 2802 participants, the majority of the study sample were males, who constituted 52.5%. Among the study's sample, the prevalence of migraine consisted of 27.4%, and the prevalence of IBS was 16.4%. The odds of having IBS in migraineurs were much higher than in those without migraines (OR 4.127; 95% CI 3.325-5.121), and the association was statistically significant (P&amp;lt;0.001). In conclusion, there is a strong association between migraine and irritable bowel syndrome in Saudi Arabia.

scholarly journals PLATELET COUNT SQUARED/SPLEEN DIAMETER-ASPARTATE AMINOTRANSFERASE RATIO: NON-INVASIVE METHOD TO PREDICT ESOPHAGEAL VARICES

2017 ◽  
Vol 54 (3) ◽  
pp. 222-224 ◽  
Author(s):  
Ângelo Zambam de MATTOS ◽  
Larissa Faraco DAROS ◽  
Angelo Alves de MATTOS
Keyword(s):  
Logistic Regression ◽  
Platelet Count ◽  
Esophageal Varices ◽  
Predictive Value ◽  
Aspartate Aminotransferase ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Predictive Values ◽  
Non Invasive

ABSTRACT BACKGROUND - Variceal bleeding has a high mortality among cirrhotics, and screening with endoscopy is indicated at the diagnosis of cirrhosis. Screening with endoscopy implies discomfort, risks and considerable costs. OBJECTIVE - To evaluate platelet count squared/spleen diameter-aspartate aminotransferase ratio (PS/SA), as a non-invasive predictor of esophageal varices in cirrhotics. METHODS - This cross-sectional study evaluated cirrhotics for PS/SA and presence of esophageal varices. Outpatient records of cirrhotic patients were reviewed for the abovementioned data. Sensitivity, specificity, negative and positive predictive values of PS/SA were calculated. After the univariate analysis, variables with P<0.10 were submitted to a logistic regression. RESULTS - The study included 164 cirrhotics, 59.70% male, with a mean age of 56.7 years. Hepatitis C was the most frequent cause of cirrhosis, being present in 90 patients. Patients were classified as Child-Pugh A in 52.44% and as Child-Pugh B or C in 47.56%. Esophageal varices were present in 72.56% of the patients at endoscopy. PS/SA, with a cutoff of 3x108, had a sensitivity of 95.80% (confidence interval of 95% - 95%CI=0.92-0.99), a specificity of 22.70% (95%CI=0.10-0.35), a positive predictive value of 77.20% (95%CI=0.70-0.84) and a negative predictive value of 66.70% (95%CI=0.42-0.91). In the logistic regression, only platelet count and Child-Pugh score were associated to esophageal varices (P<0.05). CONCLUSION - PS/SA has an excellent sensitivity to predict esophageal varices, allowing almost one fourth of patients without esophageal varices to spare endoscopy. Nevertheless, PS/SA is not independently associated to esophageal varices.

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