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Article Dans Une Revue Journal of Pediatric Gastroenterology and Nutrition Année : 2019

The Brussels Infant and Toddler Stool Scale: A Study On Inter-Observer Reliability.

Koen Huysentruyt
  • Fonction : Auteur
Ilan Koppen
  • Fonction : Auteur
Marc Benninga
  • Fonction : Auteur
Tom Cattaert
  • Fonction : Auteur
Jiqiu Cheng
  • Fonction : Auteur
Charlotte de Geyter
  • Fonction : Auteur
Christophe Faure
  • Fonction : Auteur
Badriul Hegar
  • Fonction : Auteur
Iva Hojsak
  • Fonction : Auteur
Mohamad Miqdady
  • Fonction : Auteur
Seksit Osatakul
  • Fonction : Auteur
Carmen Ribes-Koninckx
  • Fonction : Auteur
Silvia Salvatore
  • Fonction : Auteur
Miguel Saps
  • Fonction : Auteur
Raanan Shamir
  • Fonction : Auteur
Annamaria Staiano
  • Fonction : Auteur
Hania Szajewska
  • Fonction : Auteur
Mario Vieira
  • Fonction : Auteur
Yvan Vandenplas
  • Fonction : Auteur

Résumé

OBJECTIVES: The Bristol Stool Form Scale (BSFS) is inadequate for non-toilet trained children. The Brussels Infant and Toddler Stool Scale (BITSS) was developed, consisting of 7 photographs of diapers containing stools of infants and toddlers. We aimed to evaluate inter-observer reliability of stool consistency assessment among parents, nurses and medical doctors (MDs) using the BITSS. METHODS: In this multicenter cross-sectional study (2016-2017), BITSS photographs were rated according to the BSFS. The reliability of the BITSS was evaluated using the overall proportion of perfect agreement and the linearly weighted kappa statistic. RESULTS: A total of 2,462 observers participated: 1,181 parents (48.0%), 624 nurses (25.3%) and 657 MDs (26.7%). The best-performing BITSS photographs corresponded with BSFS type 7 (87.5%) and type 4 (87.6%), followed by the BITSS photographs representing BSFS type 6 (75.0%), BSFS type 5 (68.0%), BSFS type 1 (64.8%), and BSFS type 3 (64.6%). The weakest performing BITSS photograph corresponded with BSFS type 2 (49.7%). The overall weighted kappa-value was 0.72 (95% CI 0.59-0.85; good agreement). Based on these results, photographs were categorized per stool group as hard (BSFS type 1-3), formed (BSFS type 4), loose (BSFS types 5&6) or watery (BSFS type 7) stools. According to this new categorization system, correct allocation for each photograph ranged from 83-96% (average: 90%).The overall proportion of correct allocations was 72.8%. CONCLUSIONS: BITSS showed good agreement with BSFS. Using the newly categorized BITSS photographs, the BITSS is reliable for the assessment of stools of non-toilet trained children in clinical practice and research. A multi-language translated version of the BITSS can be downloaded at https://bitss-stoolscale.com/.

Dates et versions

hal-04318308 , version 1 (01-12-2023)

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Citer

Koen Huysentruyt, Ilan Koppen, Marc Benninga, Tom Cattaert, Jiqiu Cheng, et al.. The Brussels Infant and Toddler Stool Scale: A Study On Inter-Observer Reliability.. Journal of Pediatric Gastroenterology and Nutrition, 2019, Journal of Pediatric Gastroenterology and Nutrition, 68, pp.207-213. ⟨10.1097/MPG.0000000000002153⟩. ⟨hal-04318308⟩

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