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THE CoMiSS AWARENESS TOOL IN CLINICAL PRACTICE
PURPOSE
The CoMiSS is a simple, fast and easy-to-use awareness tool for cow’s milk-related symptoms. It increases awareness of the most common symptoms of cow’s milk protein allergy (CMPA) that in turn can aid an earlier diagnosis. CoMiSS can also be used to evaluate and quantify the evolution of symptoms during a therapeutic intervention.
THE CoMiSS SCORING
The CoMiSS score ranges from 0 to 33.
Each symptom has a maximal score of six, with the exception of respiratory symptoms (maximal score of three).
An arbitrary cut-off value of ≥12 was selected as the criterion to pick up infants at risk of CMPA. A score of 12 requires the presence of at least two severe symptoms and a score higher than 12 requires the presence of at least three symptoms and the involvement of two organ systems.
Published data using the CoMiSS in clinical trials show that the predictive value of the tool is 80% if the score is >12 at the start and decreases to < 6 within 2 weeks under an elimination diet with an extensivley hydrolysed formula.
DownloadTHE CoMiSS AWARENESS TOOL IN CLINICAL PRACTICE
| Last name | First name | |
| Age | Date | |
PURPOSE
The CoMiSS is a simple, fast and easy-to-use awareness tool for cow’s milk-related symptoms. It increases awareness of the most common symptoms of cow’s milk protein allergy (CMPA) that in turn can aid an earlier diagnosis. CoMiSS can also be used to evaluate and quanfy the evoluon of symptoms during a therapeuc intervenon
| Symptom | Score | |
|---|---|---|
| Crying |
Text Answer
|
0
|
| Regurgitation |
Text Answer
|
0
|
| Stools (Bristol scale) |
Text Answer
|
0
|
| Atopic: eczema Head, neck and trunk |
Text Answer
|
0
|
| Atopic eczema: Arms, hands, legs and feet |
Text Answer
|
0
|
| Urticaria |
Text Answer
|
0
|
| Respiratory symptoms |
Text Answer
|
0
|
| Final result | 0 | |
READING THE RESULT
If final score ≥ 12, the symptoms are likely cow’s milk related. This could potenally be CMPA.
If final score <12, the symptoms are less likely related to cow’s milk. Look for other causes.
CMPA diagnosis can only be confirmed by an eliminaon diet followed by an oral food challenge.
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© 2015 Nestlé Health Science |