Real Time Versus Photographic Assessment of Stool Consistency Using the Brussels Infant and Toddler Stool Scale: Are They Telling Us the Same?

Berthold Albert Aman; Elvira Ingrid Levy; Benjamine Hofman; Yvan Vandenplas; Koen Huysentruyt

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저자정보: Berthold Albert Aman (Vrije Universiteit Brussel) Elvira Ingrid Levy (Vrije Universiteit Brussel) Benjamine Hofman (Vrije Universiteit Brussel) Yvan Vandenplas (Vrije Universiteit Brussel) Koen Huysentruyt (Vrije Universiteit Brussel)

저널정보: 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제24권 제1호

발행연도: 2021.1

수록면: 38 - 44 (7page)

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Purpose: Digital communication is becoming increasingly important in clinical practice and research. The finding that stool consistency can be evaluated similarly using either “in vivo” or photographic material by health care professionals will decrease subjective interpretation by parents. The primary outcome of this study was the reliability of stool consistency scoring using the Brussels Infant and Toddler Stool Scale (BITSS) between fresh stools and their photos; the secondary outcome was the inter-rater reliability based on the fresh stools. Methods: Fresh stool samples from healthy children were collected in a day care center. These stools, and one month later the corresponding photos presented in a random order, were presented to 14 observers. Reliabilities were analyzed using absolute agreements and weighted and unweighted Cohen's κ. Results: In total, 202 samples were rated 576 times. Absolute agreement between photographic and real time assessment ranged between 71.1% and 83.3% among observers. This corresponded with substantial agreement (unweighted κ=0.70 [95% CI, 0.61?0.78]; weighted κ=0.86 [95% CI, 0.78?0.88]). The inter-observer agreement showed similar percentages of absolute agreement (81.4?82.0%) and κ-values corresponding with fair-to-moderate agreement. Conclusion: Our findings suggest that the assessment of fresh stool consistency can also reliably be done on photographic material when using the BITSS. This opens opportunities in scientific surroundings and in our daily life communication with parents and caretakers.

#Brussels Infant and Toddler Stool Scale #Photographic assessment #Fecal consistency #Feces #Observer variation

참고문헌 (11)

참고문헌 신청

Vandenplas Y / 2017 / Development of the Brussels Infant and Toddler Stool Scale (‘BITSS’): protocol of the study / BMJ Open 7:e014620

Huysentruyt K / 2019 / The Brussels Infant and Toddler Stool Scale: a study on interobserver reliability / J Pediatr Gastroenterol Nutr 68:207~213

Bekkali N / 2009 / Infant stool form scale: development and results / J Pediatr 154:521~526.e1

Gustin J / 2018 / Characterizing exclusively breastfed infant stool via a novel infant stool scale / JPEN J Parenter Enteral Nutr 42(Suppl 1):S5~S11

Koppen IJN / 2016 / Using the Bristol Stool Scale and parental report of stool consistency as part of the Rome III criteria for functional constipation in infants and toddlers / J Pediatr 177:44~48.e1

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