cliot (version 1.0.0)

rome_iv_child_abdominal_migraine: Rome IV Diagnostic Criteria for Child Abdominal Migraine

Description

Evaluates the **Rome IV criteria** for diagnosing **Abdominal Migraine** in children and adolescents. Diagnosis requires recurrent, paroxysmal attacks of moderate to severe abdominal pain, specific pain characteristics, associated migraine features, and exclusion of other causes, with symptoms present for at least 3 months.

Usage

rome_iv_child_abdominal_migraine(paroxysmal_pain_duration,
median_episodes_ge_2_per_year,
pain_periumbilical_midline_poorly_localized,
pain_severity_moderate_severe, pain_fully_resolves_hours_days,
associated_symptoms_count, not_explained_by_other_condition,
symptom_onset_ge_6_months, symptoms_active_last_3_months)

Value

A list containing:

Diagnosis

"Criteria Met for Abdominal Migraine" or "Criteria Not Met".

Arguments

paroxysmal_pain_duration

Numeric. Duration of paroxysmal pain in hours. **Must be 2-72 hours** (input 1 if met, 0 if not).

median_episodes_ge_2_per_year

Numeric (0 or 1). **Median episode frequency of at least 2 per year**. (1 = Yes).

pain_periumbilical_midline_poorly_localized

Numeric (0 or 1). Pain **periumbilical, midline, or poorly localized**. (1 = Yes).

pain_severity_moderate_severe

Numeric (0 or 1). Pain **severity is moderate to severe**. (1 = Yes).

pain_fully_resolves_hours_days

Numeric (0 or 1). Pain **fully resolves** between episodes (hours to days). (1 = Yes).

associated_symptoms_count

Numeric. **Count** of associated symptoms (anorexia, nausea, vomiting, pallor). **Must be >= 2**.

not_explained_by_other_condition

Numeric (0 or 1). **Not** better explained by another medical condition. (1 = Yes).

symptom_onset_ge_6_months

Numeric (0 or 1). Did symptom onset occur at least **6 months ago**? (1 = Yes).

symptoms_active_last_3_months

Numeric (0 or 1). Have criteria been fulfilled for the last **3 months**? (1 = Yes).

References

Hyams JS, Di Lorenzo C, Saps M, et al. Functional Disorders: Children and Adolescents. Gastroenterology. 2016;150:1456-1468. doi:10.1053/j.gastro.2016.02.015

Examples

# Example 1: Diagnosis Met
# Duration 4h (1), Freq met (1), Pain location/severity/resolution met (1,1,1),
#2+ associated symptoms (2), No other cause, Chronic duration met
rome_iv_child_abdominal_migraine(4, 1, 1, 1, 1, 2, 1, 1, 1)

# Example 2: Not Met (Insufficient associated symptoms)
# Duration 4h (1), Freq met (1), Pain characteristics met (1,1,1), 1 associated symptom (1)
rome_iv_child_abdominal_migraine(4, 1, 1, 1, 1, 1, 1, 1, 1)