Association Between Reflux Symptom Index and Reflux Finding Score in Patients with LPR
摘要
To assess the correlation between RSI and RFS in patients with LPR and to evaluate their diagnostic significance in routine ENT clinical practice. A prospective study was conducted on 150 patients aged over 18 years with symptoms suggestive of LPR attending the ENT department of a tertiary care center in North India. After obtaining informed consent and ethical approval, patients were evaluated using the RSI questionnaire followed by laryngeal endoscopy with RFS scoring. Statistical analysis was conducted to determine associations and significance. Of the 150 patients, 74% had an RSI score > 13, suggesting a strong presence of LPR symptoms. On laryngoscopic evaluation, 56% had an RFS > 7, indicating endoscopic signs of LPR. A statistically significant correlation (p < 0.0001) was found between elevated RSI and RFS scores. Lifestyle factors such as tobacco use and consumption of fried/fatty foods were also significantly associated with exacerbation of LPR symptoms. Both RSI and RFS are effective tools for diagnosing LPR. A strong correlation between the two supports their combined use in routine practice for accurate diagnosis and monitoring of treatment response. Incorporating these low-cost, reproducible tools may help prevent complications of undiagnosed LPR and enhance patient outcomes.