Montiel I, Muñiz R, Asensio M, Ruiz C, Díaz-Marín C, Matías-Guiu J
Unidad de Cefaleas, Servicia de Neurologia, Hospital General y Universitario de Alicante, España.
Rev Neurol. 1997 Aug;25(144):1173-7.
In epidemiological investigation valid, reliable means of diagnosing the illnesses studies are essential.
To validate the self-questionnaire 'Alcoi 1995' for the diagnosis of migraine.
We used the questionnaire Alcoi-1992 (which had been validated previously) to find the prevalence of migraine in homogeneous populations. After this, we selected the significant items to obtain a shorter, more specific questionnaire for diagnosis of migraine, which we called 'Alcoi 1995'. We selected a population of patients and healthy volunteers. The diagnosis of migraine (neurologist and self-questionnaire) was made on criteria of the International Headache Society (IHS, 1988).
There were 71 persons included in the study, 40 patients (5 men and 35 women those average age was 39.7 +/- 14.4 years) and 31 healthy volunteers (15 men and 16 women with an average age of 36 +/- 14.4). The sensitivity, specificity, positive and negative predictive value, and the Kappa concordance index for migraine (100%, 100%, 100%, 100% and 1); migraine with no aura (75%, 100%, 100%, 86% and 0.79) and migraine with a typical aura (100%, 88%, 63%, 100% and 0.71) were calculated.
Our results show a high degree of validity and reliability when the self-questionnaire is used for the diagnosis of migraine. It is a tool for use in epidemiological studies which is quick and easy to use, and is cheap.
在流行病学调查中,用于诊断所研究疾病的有效、可靠方法至关重要。
验证用于偏头痛诊断的“阿尔科伊1995”自我调查问卷。
我们使用先前已验证的“阿尔科伊 - 1992”问卷来确定同质人群中偏头痛的患病率。在此之后,我们挑选出重要项目以获得一份更简短、更具特异性的用于偏头痛诊断的问卷,即“阿尔科伊1995”。我们选取了一组患者和健康志愿者。偏头痛的诊断(由神经科医生和自我调查问卷进行)依据国际头痛协会(IHS,1988)的标准进行。
该研究纳入了71人,40名患者(5名男性和35名女性,平均年龄为39.7±14.4岁)和31名健康志愿者(15名男性和16名女性,平均年龄为36±14.4岁)。计算了偏头痛(100%、100%、100%、100%和1)、无先兆偏头痛(75%、100%、100%、86%和0.79)以及典型先兆偏头痛(100%、88%、63%、100%和0.71)的敏感性、特异性、阳性和阴性预测值以及Kappa一致性指数。
我们的结果表明,当使用该自我调查问卷进行偏头痛诊断时,具有高度的有效性和可靠性。它是一种用于流行病学研究的工具,快速、易用且成本低廉。