The severity of heartburn can be graded based on its clinical characteristics.
Patient selection: heartburn
Parameters:
(1) intensity of heartburn symptoms
(2) frequency of heartburn symptoms
(3) effectiveness of medications
Intensity |
Frequency |
Medication Effectiveness |
Grade |
---|---|---|---|
none |
none |
not required |
0 |
minimal to mild |
episodic |
not required |
I |
moderate |
weekly |
medication controls |
II |
severe (interferes with ADL) |
daily |
uncontrolled |
III |
One way of implementing this:
Parameter |
Finding |
Points |
---|---|---|
intensity |
none |
0 |
|
minimal ot mild |
1 |
|
moderate |
2 |
|
severe |
3 |
frequency |
none |
0 |
|
episodic |
1 |
|
weekly |
2 |
|
daily |
3 |
therapeutic response |
not required |
0 |
|
medication controls |
2 |
|
uncontrolled by medications |
3 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum socre: 9
Score |
Grade |
---|---|
0 |
0 |
1 or 2 |
I |
3 to 6 |
II |
7 to 9, or MAX = 3 |
III |
Specialty: Gastroenterology
ICD-10: ,