I Abu-Arefeh1, G Russell. 1. Department of Medical Paediatrics, Royal Aberdeen Children's Hospital.
Abstract
OBJECTIVES: To determine the prevalence rates of the various causes of severe headache in schoolchildren, with special emphasis on migraine and its impact on school attendance. DESIGN: Population based study in two stages, comprising an initial screening questionnaire followed by clinical interviews and examination of children with symptoms and a control group of asymptomatic children matched for age and sex. SETTING: 67 primary and secondary schools in the city of Aberdeen. SUBJECTS: 2165 children, representing a random sample of 10% of schoolchildren in Aberdeen aged 5-15 years. MAIN OUTCOME MEASURES: (a) the prevalence of migraine (International Headache Society criteria) and of other types of headache; (b) the impact of migraine on school attendance. RESULTS: The estimated prevalence rates of migraine and tension headache were 10.6% (95% confidence interval 9.1 to 12.3) and 0.9% (0.5 to 1.5) respectively. The estimated prevalence rates for migraine without aura and migraine with aura were 7.8% (95% confidence interval 6.5 to 9.3) and 2.8% (2.0 to 3.8) respectively. In addition, 10 children (0.7%) had headaches which, though lasting less than two hours, also fulfilled the International Headache Society criteria for migraine, 14 (0.9%) had tension headaches, and 20 (1.3%) had non-specific recurrent headache. The prevalence of migraine increased with age, with male preponderance in children under 12 and female preponderance thereafter. Children with migraine lost a mean of 7.8 school days a year due to all illnesses (2.8 days (range 0-80) due to headache) as compared with a mean of 3.7 days lost by controls. CONCLUSIONS: Migraine is a common cause of headache in children and causes significantly reduced school attendance.
OBJECTIVES: To determine the prevalence rates of the various causes of severe headache in schoolchildren, with special emphasis on migraine and its impact on school attendance. DESIGN: Population based study in two stages, comprising an initial screening questionnaire followed by clinical interviews and examination of children with symptoms and a control group of asymptomatic children matched for age and sex. SETTING: 67 primary and secondary schools in the city of Aberdeen. SUBJECTS: 2165 children, representing a random sample of 10% of schoolchildren in Aberdeen aged 5-15 years. MAIN OUTCOME MEASURES: (a) the prevalence of migraine (International Headache Society criteria) and of other types of headache; (b) the impact of migraine on school attendance. RESULTS: The estimated prevalence rates of migraine and tension headache were 10.6% (95% confidence interval 9.1 to 12.3) and 0.9% (0.5 to 1.5) respectively. The estimated prevalence rates for migraine without aura and migraine with aura were 7.8% (95% confidence interval 6.5 to 9.3) and 2.8% (2.0 to 3.8) respectively. In addition, 10 children (0.7%) had headaches which, though lasting less than two hours, also fulfilled the International Headache Society criteria for migraine, 14 (0.9%) had tension headaches, and 20 (1.3%) had non-specific recurrent headache. The prevalence of migraine increased with age, with male preponderance in children under 12 and female preponderance thereafter. Children with migraine lost a mean of 7.8 school days a year due to all illnesses (2.8 days (range 0-80) due to headache) as compared with a mean of 3.7 days lost by controls. CONCLUSIONS:Migraine is a common cause of headache in children and causes significantly reduced school attendance.
Authors: Kevin A Hommel; Julia Carmody; Andrew D Hershey; Christina Holbein; Marielle Kabbouche-Samaha; James Peugh; Scott Powers Journal: Headache Date: 2020-04-22 Impact factor: 5.887
Authors: Michael M Dowling; Michael J Noetzel; Mark J Rodeghier; Charles T Quinn; Deborah G Hirtz; Rebecca N Ichord; Janet L Kwiatkowski; E Steven Roach; Fenella J Kirkham; James F Casella; Michael R DeBaun Journal: J Pediatr Date: 2014-02-13 Impact factor: 4.406