Description

Zaninotto et al developed a symptom score for evaluating patients with achalasia before and after surgery. This can be used to monitor the patient's response to interventions. The authors are form the University of Padova in Italy.


Symptoms:

(1) dysphagia

(2) chest pain

(3) regurgitation

 

For Each Symptom

Feature

Points

severity

none

0

 

mild

2

 

moderate

4

 

severe

6

frequency

never

0

 

occasionally

1

 

once a month

2

 

every week

3

 

twice a week

4

 

daily

5

 

subscore for each symptom =

= (points for severity) + (points for frequency)

 

total score =

= SUM(subscore for each symptom)

 

Interpretation:

• minimum score: 0

• maximum subscore: 11

• maximum total score: 33

• The higher the total score, the more severe the symptomatology.


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