Validation of the Baylor Continence Scale in children with anorectal malformations
Validation of the Baylor Continence Scale in children with anorectal malformations
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DOI：
10.1016/j.jpedsurg.2007.01.070
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发表时间：
2007-06-01
影响因子：
2.4
通讯作者：
Washburn, Kimberly K.
中科院分区：
文献类型：
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作者：
Brandt, Mary L.;Daigneau, Carolyn;Washburn, Kimberly K.
背景：肛门直肠畸形（ARMs）常常导致终生排便问题。目前还没有针对ARM修复术后大便失禁儿童的评分系统的研究。本研究旨在开发和验证一种工具（Baylor尿失禁量表[BCS]）来测量ARMs手术矫正后儿童的社会功能。BCS是一项23条线索的调查，对ARM修复后的儿童、遗尿症儿童和正常儿童进行了调查。ARM组儿童的平均BCS评分为28.0，与遗尿对照组（16.5）和正常对照组（11.5）有统计学差异（P <0.05）。与遗尿症组或正常对照组相比，ARM组中有更大比例的儿童对家庭评分的影响（> 30）结论：BCS工具在改善ARM修复后失禁的干预措施的前瞻性研究中应该很有用。本研究的一个重要次要结果是证明了照顾无孔儿童对家庭的影响肛门，即使是修复后的几年。(c)2007年爱思唯尔公司All rights reserved.
Background: Anorectal malformations (ARMs) often result in lifelong problems with defecation. There have been no studies performed to develop scoring systems in children with fecal incontinence following repair of ARM. This study was designed to develop and validate a tool (Baylor Continence Scale [BCS]) to measure social continence in children after surgical correction of ARMs.Methods: The BCS, a 23-cluestion survey, was administered to children who have had repair of an ARM, children with enuresis, and normal children.Results: Children in the ARM group had an average BCS score of 28.0, which was statistically different from an enuresis control group (16.5) and normal controls (11.5) (P < .05). A significantly greater proportion of children in the ARM group had higher Impact on Family Scores (> 30) than either tile enuresis or normal control group (P < .05).Conclusions: The BCS tool should be useful in prospective studies of interventions to improve incontinence after repair of an ARM. An important secondary result of this study was to demonstrate the effect on families of caring for a child with imperforate anus, even years after the repair. (c) 2007 Elsevier Inc. All rights reserved.