Infant Stool Form Scale: Development and Results - 08/08/11
, Sofie L. Hamers, MSc a, Johannes B. Reitsma, MD, PhD c, Letty Van Toledo, MD, PhD b, Marc A. Benninga, MD, PhD a
Reprint requests: Noor- L- Houda Bekkali, MD, Emma Children's Hospital, Academic Medical Centre, Department of Paediatric Gastroenterology and Nutrition, Office C2-312, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsRésumé |
Objective |
To develop an infant stool scale describing consistency, amount, and color and test its usefulness by assessing the differences between term and preterm infants, between breastfed and formula fed infants and examining interobserver and intraobserver variability.
Study design |
Information about gestational age, postnatal age, and feeding type was collected in relation to each photograph taken. An infant stool form scale describing consistency (4-point scale), amount (4-point scale), and color (6 categories) was developed. All photographs were scored twice with the newly developed scale to assess interobserver and intraobserver variability. Consensus database describing stool characteristics was developed.
Results |
A total of 555 photographs of infant stools were analyzed; 60 (11%) of the infants studied were term, and 495 (89%) were born prematurely. No differences were found between preterm and term infants. Breastfed infants had smaller amounts of stools compared with formula-fed infants (P < .001). The interobserver weighed κ value (95% CI) was good for consistency and amount; the simple κ value was good for color. For observers I and II intraobserver κ values were excellent.
Conclusion |
This “Amsterdam” stool form scale is useful to assess defecation patterns in both premature and term born infants.
Le texte complet de cet article est disponible en PDF.Abbreviations : BF, BSFS, FF, GA
Plan
| The authors declare no potential conflicts of interest, and there were no study sponsors involved in this project. |
Vol 154 - N° 4
P. 521 - avril 2009 Retour au numéro
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