Assessment of commonly used pediatric stool scales: a pilot study.

Autor: Saps M; Division of Pediatric Gastroenterology, Hepatology and Nutrition, Ann & Robert H Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States., Nichols-Vinueza D, Dhroove G, Adams P, Chogle A
Jazyk: angličtina
Zdroj: Revista de gastroenterologia de Mexico [Rev Gastroenterol Mex] 2013 Jul-Sep; Vol. 78 (3), pp. 151-8. Date of Electronic Publication: 2013 Aug 12.
DOI: 10.1016/j.rgmx.2013.04.001
Abstrakt: Background: The Bristol Stool Form Scale (BSFS) and a modified child-friendly version (M-BSFS) are frequently used in clinical practice and research. These scales have not been validated in children. 3-D stool scale models may be better adapted to the child's development.
Aims: To assess the usefulness of the BSFS, M-BSFS, and a newly developed 3-D stool scale in children.
Methods: Fifty children were asked to rank the picture cards of the BSFS and 3-D models from hardest to softest and to match the pictures with descriptors for each stool type.
Results: Thirty percent of the children appropriately characterized the stools as hard, loose, or normal using the BSFS vs. 36.6% with the 3-D model (p=0.27). Appropriate correlation of stools as hard, loose, or normal consistency using the BSFS vs. the 3-D model by age group was: 6 to 11-year-olds, 27.5% vs. 33.3% (p=0.58) and 12 to 17-year-olds, 32.1% vs. 39.5% (p=0.41). Thirty-three percent correlated the BSFS pictures with the correct BSFS words, 46% appropriately correlated with the M-BSFS words, and 46% correlated the 3-D stool models with the correct wording.
Conclusions: The BSFS and M-BSFS that are widely used as stool assessment instruments are not user-friendly for children. The 3-D model was not found to be better than the BSFS and the M-BSFS.
(Copyright © 2013 Asociación Mexicana de Gastroenterología. Published by Masson Doyma México S.A. All rights reserved.)
Databáze: MEDLINE