Objective

To describe the headache characteristics and functional disability of a large sample of treatment-seeking youth with continuous headache and compare these factors across diagnostic subgroups of chronic migraine and new daily persistent headache.

Methods

This retrospective study utilized clinical information (e.g. diagnosis, headache features, medication overuse, functional disability) from a large data repository of patients initially presenting to a multidisciplinary headache center with continuous headache. Patient inclusion in subgroup analyses for chronic migraine and new daily persistent headache was based on clinician diagnosis using International Classification of Headache Disorders (ICHD) criteria.

Results

The current sample included 1170 youth (mean age = 13.95 years, 78.8% female) with continuous headache. The overwhelming majority of these youth had headaches with migrainous features, regardless of their clinical diagnosis. Youth with chronic migraine reported a longer history of continuous headache symptoms and earlier age of headache onset than youth with new daily persistent headache and were more likely to have medication overuse. Most youth with continuous headache experienced severe migraine-related functional disability, regardless of diagnostic subgroup.

Conclusions

Overall, youth with continuous chronic migraine and new daily persistent headache did not have clinically meaningful differences in headache features and associated disability. Findings suggest that chronic migraine and new daily persistent headache may be variants of the same underlying disease.

中文翻译：

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儿童和青少年持续性头痛的临床特征：将患有慢性偏头痛的青少年与每天新出现持续性头痛的青少年进行比较。

客观的

描述大量持续头痛的寻求治疗青年的头痛特征和功能障碍，并在慢性偏头痛和新的每日持续性头痛的诊断亚组中比较这些因素。

方法

这项回顾性研究利用了最初就诊于多学科头痛中心并伴有持续头痛的患者的大型数据库中的临床信息（例如诊断、头痛特征、药物过度使用、功能障碍）。将患者纳入慢性偏头痛和新的每日持续性头痛的亚组分析是基于临床医生使用国际头痛疾病分类 (ICHD) 标准进行的诊断。

结果

当前样本包括 1170 名持续头痛的青年（平均年龄 = 13.95 岁，78.8% 为女性）。无论临床诊断如何，这些年轻人中的绝大多数都有偏头痛特征的头痛。患有慢性偏头痛的青少年报告的持续性头痛症状史和头痛发作年龄比每天新出现持续性头痛的青少年更长，并且更有可能过度使用药物。无论诊断亚组如何，大多数持续头痛的青少年都经历了严重的偏头痛相关功能障碍。

结论

总体而言，持续慢性偏头痛和新的每日持续性头痛的青少年在头痛特征和相关残疾方面没有临床意义的差异。研究结果表明，慢性偏头痛和新的每日持续性头痛可能是同一潜在疾病的变异。