KCTBASE

한국판 국제두통질환분류 3판 베타판의 임상적용
Clinical Application of Korean Version of the International Classification of Headache Disorders, 3 rd Edition, Beta Version

대한신경과학회지 2014년 32권 3호 p.163 ~ p.167

문희수(Moon Heui-Soo) - 성균관대학교 의과대학 강북삼성병원 신경과
박광열(Park Kwang-Yeol) - 중앙대학교 의과대학 중앙대학교병원 신경과
조수진(Cho Soo-Jin) - 한림대학교 의과대학 동탄성심병원 신경과

Abstract

Background: The International Classification of Headache Disorders, an essential tool in the diagnosis of headache disorders, has been revised as its 3rd edition, beta (ICHD-Ⅲβ). The clinical application in practice is needed to test the feasibility and usefulness of the Korean version of ICHD-Ⅲβ.

Methods: Neurologists enrolled consecutive first-visit headache patients from February to March 2014. The classification of headache disorder was done by each investigator according to ICHD-Ⅲβ based on the initial structured questionnaire, clinical evaluation, and neuroimaging studies, if needed. A consensus meeting dealt with the cases that were difficult to diagnose. The feasibility and usefulness of this version was assessed by the proportion of unclassified headache disorders using ICHD-Ⅲβ compared to the previous version.

Results: A total of 207 patients were enrolled: the mean age was 41 years (16-87 years) and women constituted 63.3%. Primary headache disorders were diagnosed in 167 patients (80.7%): 82 migraines, 37 tension-type headaches, 3 cluster headaches, and 45 other primary headache disorders. Thirty-five patients (16.9%) had secondary headache disorders or painful cranial neuropathies/other facial pain and 5 patients (2.4%) could not be classified by ICHD-Ⅲβ. The diagnoses differed as compared to the previous version in 32 patients (15.5%): 14.5% differed due to the mitigation of the previous strict criteria and 1% differed due to the introduction of a new diagnostic category.

Conclusions: Classifications by ICHD-Ⅲβ are possible in more than 97% of the first-visit headache patients and ICHD-Ⅲ β has proved to be more useful than its previous version.

키워드

Diagnosis, Classification, Headache disorders, Migraine

KMID : 0359720140320030163

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

한국판 국제두통질환분류 3판 베타판의 임상적용 Clinical Application of Korean Version of the International Classification of Headache Disorders, 3 rd Edition, Beta Version

Abstract

키워드

한국판 국제두통질환분류 3판 베타판의 임상적용
Clinical Application of Korean Version of the International Classification of Headache Disorders, 3 rd Edition, Beta Version