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[Validity and applicability of the mnemonic POUNDing rule in patients with migraine. A descriptive study].
Semergen
December 2019
Centro de Salud Universitario La Paz, Servicio Extremeño de Salud, Badajoz, España. Electronic address:
Introduction: In assessing the patient with headache, clinicians are often faced with 2 important questions: Is this headache a migraine? Does this patient require neuroimaging? The aim of this study was to assess the validity and applicability of the mnemonic POUNDing rule in patients diagnosed with migraine.
Patients And Methods: A descriptive, validation study of the POUNDing rule in patients with a diagnosis of migraines and with a brain imaging test (computed tomography or magnetic resonance imaging), in an urban health centre and a neurology clinic of the University Hospital of Badajoz.
Results: A total of 116 patients were included (mean age 45.
The mnemonic POUNDing rule in the diagnosis of patients with migraine.
Rev Clin Esp (Barc)
October 2018
Centro de Salud Universitario La Paz, Servicio Extremeño de Salud, Badajoz, España. Electronic address:
Does this patient with headache have a migraine or need neuroimaging?
JAMA
September 2006
Faculty of Medicine, Medicine, University of Toronto, Toronto, Ontario.
Context: In assessing the patient with headache, clinicians are often faced with 2 important questions: Is this headache a migraine? Does this patient require neuroimaging? The diagnosis of migraine can direct therapy, and information obtained from the history and physical examination is used by physicians to determine which patients require neuroimaging.
Objective: To determine the usefulness of the history and physical examination that distinguish patients with migraine from those with other headache types and that identify those patients who should undergo neuroimaging.
Data Sources And Study Selection: A systematic review was performed using articles from MEDLINE (1966-November 2005) that assessed the performance characteristics of screening questions in diagnosing migraine (with the International Headache Society diagnostic criteria as a gold standard) and addressed the accuracy of the clinical examination in predicting the presence of underlying intracranial pathology (with computed tomography/magnetic resonance imaging as the reference standard).
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