The Brussels Infant and Toddler Stool ...
Document type :
Article dans une revue scientifique
PMID :
Permalink :
Title :
The Brussels Infant and Toddler Stool Scale: A Study On Inter-Observer Reliability.
Author(s) :
Huysentruyt, Koen [Auteur]
Koppen, Ilan [Auteur]
Benninga, Marc [Auteur]
Cattaert, Tom [Auteur]
Cheng, Jiqiu [Auteur]
De Geyter, Charlotte [Auteur]
Faure, Christophe [Auteur]
gottrand, Fréderic [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Hegar, Badriul [Auteur]
Hojsak, Iva [Auteur]
Miqdady, Mohamad [Auteur]
Osatakul, Seksit [Auteur]
Ribes-Koninckx, Carmen [Auteur]
Salvatore, Silvia [Auteur]
Saps, Miguel [Auteur]
Shamir, Raanan [Auteur]
Staiano, Annamaria [Auteur]
Szajewska, Hania [Auteur]
Vieira, Mario [Auteur]
Vandenplas, Yvan [Auteur]
Koppen, Ilan [Auteur]
Benninga, Marc [Auteur]
Cattaert, Tom [Auteur]
Cheng, Jiqiu [Auteur]
De Geyter, Charlotte [Auteur]
Faure, Christophe [Auteur]
gottrand, Fréderic [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Hegar, Badriul [Auteur]
Hojsak, Iva [Auteur]
Miqdady, Mohamad [Auteur]
Osatakul, Seksit [Auteur]
Ribes-Koninckx, Carmen [Auteur]
Salvatore, Silvia [Auteur]
Saps, Miguel [Auteur]
Shamir, Raanan [Auteur]
Staiano, Annamaria [Auteur]
Szajewska, Hania [Auteur]
Vieira, Mario [Auteur]
Vandenplas, Yvan [Auteur]
Journal title :
Journal of Pediatric Gastroenterology and Nutrition
Abbreviated title :
J. Pediatr. Gastroenterol. Nutr.
Volume number :
68
Pages :
207-213
Publication date :
2019-02
ISSN :
1536-4801
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
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 ...
Show more >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/.Show less >
Show more >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/.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Inserm
Université de Lille
CHU Lille
Université de Lille
CHU Lille
Research team(s) :
Nutritional modulation of inflammation and infection
Submission date :
2019-03-01T14:17:36Z
2023-12-01T14:35:18Z
2023-12-01T14:35:18Z