Vandenplas Yvan, Szajewska Hania, Benninga Marc, Di Lorenzo Carlo, Dupont Christophe, Faure Christophe, Miqdadi Mohamed, Osatakul Seksit, Ribes-Konickx Carmen, Saps Miguel, Shamir Raanan, Staiano Annamaria
Department of Pediatrics, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Pediatrics, The Medical University of Warsaw, Warsaw, Poland.
BMJ Open. 2017 Mar 29;7(3):e014620. doi: 10.1136/bmjopen-2016-014620.
The Bristol Stool Form Scale (BSS) which consists of 7 photographs of different stool forms allows assessment of stool consistency (scale 1 for hard lumps to scale 7 for watery stools), in an objective manner in adults. The BSS is also sometimes used to characterise the stools of infants and young children. Despite its use, there is general agreement among paediatric gastroenterologists that the BSS is not adequate to be used in infants and young children who wear diapers; thus, a new scale specifically designed for this population is needed. Our aim is to develop a paediatric stool scale, the Brussels Infant and Toddler Stool Scale ('BITSS'), and to evaluate the interobserver agreement of stool assessment with the BITSS between the patient's parent and healthcare providers (physicians and nurses).
This study has two phases. In the first phase, 11 key-opinion leaders in the field of paediatric gastroenterology representing different areas of the world selected seven coloured photographs of infants and/or young children wearing diapers to match the original descriptors of the BSS. The selected photographs were used to create a new scale in which the drawings of stools of the BSS were replaced by infant/toddlers stool photographs. In phase II, we aim at demonstrating that parents, nurses and primary healthcare physicians interpret the stool-pictures of the BITSS with a high degree of consensus and that the agreement is independent of whether it is a parent or a healthcare provider. Interobserver variability of stool assessment with the BITSS between the patient's parent and healthcare providers will be assessed.
The study will be approved by the Ethics Committee of the participating centres. The findings of this study will be submitted to a peer-reviewed journal. Abstracts will be submitted to national and international conferences.
NCT02913950.
布里斯托大便形态量表（BSS）由7张不同大便形态的照片组成，可客观评估成人的大便稠度（从硬块状的1级到水样便的7级）。BSS有时也用于描述婴幼儿的大便情况。尽管有此应用，但儿科胃肠病学家普遍认为，BSS不适用于仍在使用尿布的婴幼儿；因此，需要专门为这一人群设计一种新的量表。我们的目标是开发一种儿科大便量表，即布鲁塞尔婴幼儿大便量表（“BITSS”），并评估患儿家长与医疗服务提供者（医生和护士）之间使用BITSS进行大便评估的观察者间一致性。
本研究分为两个阶段。在第一阶段，来自世界不同地区的11位儿科胃肠病学领域的关键意见领袖选择了7张婴幼儿使用尿布时的彩色照片，以匹配BSS的原始描述。所选照片用于创建一个新的量表，其中BSS的大便图被婴幼儿大便照片所取代。在第二阶段，我们旨在证明家长、护士和基层医疗医生对BITSS的大便图片解读具有高度一致性，且这种一致性与解读者是家长还是医疗服务提供者无关。将评估患儿家长与医疗服务提供者之间使用BITSS进行大便评估的观察者间变异性。
本研究将获得参与中心伦理委员会的批准。本研究结果将提交给同行评审期刊。摘要将提交给国内和国际会议。
NCT02913950。
