Grading System for Heartburn | Medicalalgorithms.com

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

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