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Table 1 Comparison of Vesikari and modified Vesikari score systems for acute gastroenteritis

From: Complicated norovirus infection and assessment of severity by a modified Vesikari disease score system in hospitalized children

Symptom or sign

Vesikari Score System (Points)

Modified Score System (Points)

Max. no. diarrheal stools/24 h

 1–3

1

1

 4–5

2

2a

  ≥ 6

3

Duration of diarrhea (days)

 1–4

1

1

 5

2

2a

  ≥ 6

3

Max. no. vomiting episodes/24 h

 1

1

1a

 2–4

2

  ≥ 5

3

2

Duration of vomiting (days)

 1

1

1a

 2

2

  ≥ 3

3

2

Fever

  < 37.0 °C

0

0

 37.1–38.4 °C

1

1

 38.5–38.9 °C

2

2

  ≥ 39 °C

3

3

Dehydration

 Little to mild

1

1

 Mild to Moderate (1–5 %)

2

2

 Severe (≥6 %)

3

3

Treatment

 None

0

0

 Rehydration

1

1b

 Hospitalization

2

2c

Duration of fever (days)

 0

N/A

0

 1–3

N/A

1

  ≥ 3

N/A

2

Gastrointestinal hemorrhage

 None

N/A

0

 Occult blood in stool only

N/A

1d

 Gross bloody stool

N/A

2

Convulsion

  

 None

N/A

0

 Yes

N/A

1

With recurrence

 

2

Assessment of abdomen pain or flatulence

 None

N/A

0

 Flatulence

N/A

1

 Irritability or pain

N/A

2

Total Score

20

24

  1. Total score in Vesikari score < 7, mild; 7-10, moderate, and >10, severe. In modified score, < 8, mild; 8-11, moderate, and >11, severe
  2. N/A Not assessed
  3. a Max. no. diarrheal stools/24 h ≥ 4; Duration of diarrhea ≥ 5 days; Max. no. vomiting episodes/24 h 4; Duration of vomiting 2 days
  4. b Hydration amount of less than 1.5 fold maintenance
  5. c Hydration amount of more than 1.5 fold maintenance
  6. d Occult blood (≥) 2+ in stool