Reflux_Symptoms_Index_guideline v.1

Reflux Symptoms Index assesses laryngopharyngeal reflux (LPR) symptoms and their severity to help with diagnosis.

Maryam Razavi

maryam.razavi@cambio.se

© Cambio CDS

To calculate RSI score and its interpretation.

The Reflux symptoms index consists in the following nine items: 1. Hoarseness or a problem with your voice; 2. Clearing your throat; 3. Excess throat mucous or postnasal drip; 4. Difficulty swallowing food, liquids or pills; 5. Coughing after you ate or after lying down; 6. Breathing difficulties or choking episodes; 7. Troublesome or annoying cough; 8. Sensations or something sticking in your throat; 9. Heart burn, chest pain, indigestion, or stomach acid coming up. The patient is asked to rate each of the 9 signs and symptoms on a scale from 0 to 5, where 0 means no problem and 5 means severe problem, based on how they perceive they have been affected by the symptoms during the past month. The RSI score ranges from 0 to 45, with scores of 13 or greater being indicative of laryngopharyngeal reflux (LPR) diagnosis.

Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002 Jun;16(2):274-7. doi: 10.1016/s0892-1997(02)00097-8. PMID: 12150380. Lechien JR, Huet K, Finck C, Khalife M, Fourneau AF, Delvaux V, Piccaluga M, Harmegnies B, Saussez S. Validity and Reliability of a French Version of Reflux Symptom Index. J Voice. 2017 Jul;31(4):512.e1-512.e7. doi: 10.1016/j.jvoice.2016.11.020. Epub 2017 Jan 6. PMID: 28069467. Brauer DL, Tse KY, Lin JC, Schatz MX, Simon RA. The Utility of the Reflux Symptom Index for Diagnosis of Laryngopharyngeal Reflux in an Allergy Patient Population. J Allergy Clin Immunol Pract. 2018 Jan-Feb;6(1):132-138.e1. doi: 10.1016/j.jaip.2017.04.039. Epub 2017 Jun 9. PMID: 28606786.

openEHR-EHR-OBSERVATION.reflux_symptoms_index, openEHR-EHR-EVALUATION.reflux_symptoms_index_assessment