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Development of a patient-based grading scale for PedMIDAS.
A D Hershey1, S W Powers, A-L B Vockell
1Division of Neurology, Cincinnati Children's Hospital Medical Center, OH 45229-3039, USA.
Cephalalgia : an International Journal of Headache
|September 21, 2004
Summary
A new patient-based grading scale for the Pediatric Migraine Disability Assessment (PedMIDAS) was developed and validated. This scale enhances the assessment of pediatric migraine disability for clinical use.
Area of Science:
- Pediatric Neurology
- Clinical Epidemiology
- Pain Management
Background:
- The Pediatric Migraine Disability Assessment (PedMIDAS) is a tool for assessing migraine-related disability in children.
- A patient-based grading scale can improve the utility of PedMIDAS in clinical settings.
Purpose of the Study:
- To develop and validate a patient-based grading scale for PedMIDAS.
- To enhance the assessment of migraine disability in children.
Main Methods:
- PedMIDAS was administered to 329 children.
- Patient-based disability ratings were compared with PedMIDAS scores.
- An empirically derived grading system was developed based on score convergence.
Main Results:
- Headache disability was categorized: little to none (49.5%), mild (26.7%), moderate (15.8%), and severe (7.9%).
- Corresponding PedMIDAS raw scores were established for each category.
- An empirically derived grading system was established: Grade I (0-10), II (11-30), III (31-50), and IV (>50).
- Higher grades correlated with a greater need for prophylactic treatment.
Conclusions:
- The developed patient-based grading scale increases the utility of PedMIDAS.
- This validated scale can be widely used in routine clinical evaluation and management of pediatric migraine.