Validity and reliability of the Bristol Stool Form Scale in healthy adults and patients with diarrhoea-predominant irritable bowel syndrome

Validity and reliability of the Bristol Stool Form Scale in healthy adults and patients with diarrhoea-predominant irritable bowel syndrome
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DOI:
10.1111/apt.13746
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发表时间:
2016-10-01
影响因子:
7.6
通讯作者:
Whelan, K.
Whelan, K.
中科院分区:
医学1区
文献类型:
--
作者:
Blake, M. R.;Raker, J. M.;Whelan, K.

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背景布里斯托粪便形态量表(BSFS)是一种广泛用于临床实践和研究的粪便形态测量的7点量表,目的探讨BSFS在健康成人和腹泻型肠易激综合征(IBS-D)患者粪便形态测定中的有效性和可靠性。9名健康志愿者提供粪便样品,并使用BSFS对粪便形式进行分类,将其与测量的粪便含水量和来自19名IBS-D患者的值进行比较。86名志愿者使用BSFS分类26粪便models.ResultsVolunteers'分类的粪便类型与粪便水(斯皮尔曼的rho = 0.491,P < 0.001),增加硬(类型1-2),正常(类型3-5)和松散的粪便(类型6-7)(P < 0.001)。BSFS检测到健康志愿者之间粪便形态的差异(平均值3.7,s.d. 1.5)和IBS-D患者(平均5.0,s.d. 1.2)(P < 0.001)。总的来说,977/1204(81%)粪便模型被正确分类(基本准确度= 0.78),尽管
BackgroundThe Bristol Stool Form Scale (BSFS) is a 7-point scale used extensively in clinical practice and research for stool form measurement, which has undergone limited validity and reliability testing.AimTo determine the validity and reliability of the BSFS in measuring stool form in healthy adults and patients with diarrhoea-predominant irritable bowel syndrome (IBS-D).MethodsOne hundred and sixty-nine healthy volunteers provided a stool sample and used the BSFS to classify stool form, which was compared with measured stool water content and with values from 19 patients with IBS-D. Eighty-six volunteers used the BSFS to classify 26 stool models to determine accuracy and reliability.ResultsVolunteers' classifications of stool type correlated with stool water (Spearman's rho = 0.491, P < 0.001), which increased in hard (Types 1-2), normal (Types 3-5) and loose stools (Types 6-7) (P < 0.001). The BSFS detected differences in stool form between healthy volunteers (mean 3.7, s.d. 1.5) and IBS-D patients (mean 5.0, s.d. 1.2) (P < 0.001). Overall, 977/1204 (81%) stool models were correctly classified (substantial accuracy, = 0.78), although