Infant Stool Form Scale: Development and Results
Infant Stool Form Scale: Development and Results
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DOI：
10.1016/j.jpeds.2008.10.010
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发表时间：
2009-04-01
影响因子：
5.1
通讯作者：
Benninga, Marc A.
中科院分区：
文献类型：
--
作者：
Bekkali, Noor;Hamers, Sofie L.;Benninga, Marc A.
目的 开发描述稠度、量和颜色的婴儿粪便量表，并通过评估足月儿和早产儿之间、母乳喂养和配方奶喂养婴儿之间的差异以及检查观察者之间和观察者内部的变异性来测试其有用性。 研究设计 收集与每张照片相关的胎龄、产后年龄和喂养类型的信息。制定了描述稠度（4 点量表）、量（4 点量表）和颜色（6 类）的婴儿粪便形状量表。使用新开发的解决方案对所有照片进行两次评分，以评估观察者间和观察者内的变异性。开发了描述粪便特征的共识数据库。 结果 分析了总共 555 张婴儿粪便照片；研究中的 60 名婴儿（11%）是足月婴儿，495 名婴儿（89%）是早产儿。早产儿和足月儿之间没有发现差异。与配方奶喂养的婴儿相比，母乳喂养的婴儿的粪便量较少 (P < .001)。观察者间加权 kappa 值 (95% CI) 的一致性和数量良好；简单的 kappa 值对颜色有好处。对于观察者 I 和 II 观察者内 kappa 值非常好。结论 这种“阿姆斯特丹”粪便形状量表可用于评估早产儿和足月出生婴儿的排便模式。 (儿科杂志 2009,154:521-6)
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 settle 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 kappa value (95% CI) was good for consistency and amount; the simple kappa value was good for color. For observers I and II intraobserver kappa values were excellent.Conclusion This "Amsterdam" stool form scale is useful to assess defecation patterns in both premature and term born infants. (J Pediatr 2009,154:521-6)