Validated Clinical Score Predicts Gastroesophageal Reflux in Patients with Chronic Laryngeal Symptoms

A validated clinical score, the COuGH RefluX, has been developed to predict the likelihood of gastroesophageal reflux disease (GERD) in patients with chronic laryngeal symptoms. The score, based on cough, overweight/obesity, globus, hiatal hernia, regurgitation, and male sex, accurately stratifies patients as low or high likelihood of GERD. With a sensitivity of 79% and specificity of 81%, the score can guide diagnostic strategies and reduce unnecessary treatment for patients with chronic laryngeal symptoms.