{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:24:47Z","timestamp":1788312287717,"version":"build-2803163510"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","issue":"3A","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[1997,9]]},"abstract":"<jats:p>A cefal\u00e9ia \u00e9 sintoma de alta preval\u00eancia na popula\u00e7\u00e3o, sendo queixa freq\u00fcente na pr\u00e1tica cl\u00ednica. Cursa geralmente com exame f\u00edsico geral e neurol\u00f3gico normais. A triagem de pacientes com cefal\u00e9ia facilitaria o atendimento em centros m\u00e9dicos n\u00e3o especializados. No presente estudo utilizou-se um question\u00e1rio baseado nos crit\u00e9rios da Sociedade Internacional de Cefal\u00e9ias modificado pelos autores em 204 pacientes de ambulat\u00f3rio do Hospital das Cl\u00ednicas da FMUSP. Metade destes pacientes foi submetida a consulta cl\u00ednica. Os resultados do question\u00e1rio foram ent\u00e3o comparados com os resultados da consulta cl\u00ednica (padr\u00e3o-ouro). As cefal\u00e9ias encontradas eram prim\u00e1rias (89,6%) na sua maioria. O question\u00e1rio demonstrou sensibilidade de 90,2% para detec\u00e7\u00e3o das enxaquecas e especificidade de 57,9%, com coeficiente de compara\u00e7\u00e3o (kappa) de 0,47, e valor preditivo positivo (VPP) de 65,7% e um valor preditivo negativo (VPN) de 86,8 . A sensibilidade para detec\u00e7\u00e3o de cefal\u00e9ia do tipotensional foi 60,8% e a especificidade foi 87,1% comkappa de 0,49, e VPP de 77,8% e VPN de 75,9. Conclu\u00edmos que esse question\u00e1rio pode ser utilizado como um m\u00e9todo de triagem para o diagn\u00f3stico de cefal\u00e9ias, podendo ser aplicado por pessoal n\u00e3o m\u00e9dico. Futuramente, ele poder\u00e1 ser utilizado em estudos populacionais.<\/jats:p>","DOI":"10.1590\/s0004-282x1997000300003","type":"journal-article","created":{"date-parts":[[2010,10,17]],"date-time":"2010-10-17T01:13:17Z","timestamp":1287277997000},"page":"364-369","source":"Crossref","is-referenced-by-count":33,"title":["Valida\u00e7\u00e3o de question\u00e1rio para diagn\u00f3stico de cefal\u00e9ia em ambulat\u00f3rio de hospital universit\u00e1rio"],"prefix":"10.1590","volume":"55","author":[{"given":"Isabela J. 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