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Clinical Score of Derkay et al for a Patient with Recurrent Respiratory Papillomatosis (RRP)

Purpose: To evaluate a patient with recurrent respiratory papillomatosis (RPP) using the clinical score of Derkay et al.

Description

Derkay et al developed a staging system for patients with recurrent respiratory papillomatosis (RPP) which is based on 2 scores - one clinical and one anatomical. The combined score can be used to evaluate the patient initially and to monitor the response to therapy.


Parameters of the clinical score:

(1) voice

(2) stridor

(3) urgency of intervention

(4) respiratory distress

 

Parameter

Finding

Points

voice

normal

0

 

present but abnormal

1

 

absent (aphonic)

2

stridor

absent

0

 

present if active

1

 

present even at rest

2

urgency of intervention

scheduled (none)

0

 

elective

1

 

urgent

2

 

emergency

3

respiratory distress

none

0

 

mild

1

 

moderate

2

 

severe

3

 

extreme

4

 

total clinical score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum clinical score: 0

• maximum clinical score: 11

• The higher the clinical score the more severe the clinical status of the patient.


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Specialty

Objective

ICD-10