Elizabeth Toigo, Erin Pellot, Hannah Lyons, Peter McAllister, Martin Taylor
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引用次数: 0
Abstract
Background: The International Classification of Headache Disorders (ICHD-3) uses moderate or severe pain intensity in the diagnostic criterion for migraine. However, few studies have analyzed pain rating on a visual analog scale to identify the numerical intensity that correlates with migraine.
Objective: To evaluate the impact of daily self-rated headache pain among patients with either episodic or chronic migraine. This study specifically aims to evaluate the probability of patients labeling their head pain as a headache vs. migraine based on the pain level reported.
Methods: A retrospective chart review was conducted on patients with a clinical diagnosis of migraine from July 1, 2014, to July 1, 2019.
Results: Data of 114 subjects (57 episodic migraine and 57 chronic migraine) were used for analysis. Patients with episodic migraine on average rated a migraine more severe than a headache (4.1 vs. 6.4; p < 0.001). Patients with chronic migraine on average also rated migraine more severe than a headache (4.3 vs. 6.8; p = 0.0054). Chronic migraine patients transitioned from calling head pain a headache to a migraine significantly later than episodic migraine patients (4.5 vs. 6.8; p < 0.05).
Conclusion: A migraine is perceived as having higher pain intensity than a headache in patients with both episodic and chronic migraine. On average, patients with chronic migraine had a higher pain rating at which they report head pain to be considered a migraine.
背景：国际头痛疾病分类（ICHD-3）将中度或重度疼痛强度作为偏头痛的诊断标准。然而，很少有研究通过分析视觉模拟量表的疼痛评分来确定与偏头痛相关的数字强度：目的：评估发作性偏头痛或慢性偏头痛患者每日自我评定的头痛程度对偏头痛的影响。本研究特别旨在评估患者根据所报告的疼痛程度将其头部疼痛标注为头痛与偏头痛的概率：对2014年7月1日至2019年7月1日期间临床诊断为偏头痛的患者进行回顾性病历审查：对114名受试者（57名发作性偏头痛患者和57名慢性偏头痛患者）的数据进行了分析。发作性偏头痛患者平均认为偏头痛比头痛更严重（4.1 vs. 6.4；P 结论：偏头痛比头痛更严重：发作性偏头痛和慢性偏头痛患者都认为偏头痛的疼痛强度高于头痛。平均而言，慢性偏头痛患者将头部疼痛视为偏头痛的疼痛等级更高。
期刊介绍：
Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions.
The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.
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