布里斯托尔便尺度与儿童修改版的比较:提供者与儿童的使用
James Orozco1,2, Mariella M Self1,2, Sara Grisales1,2
1Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
The American journal of gastroenterology
|November 21, 2024
概括
经过修改的儿童布里斯托尔便表格尺度 (mBSFS-C) 与传统的布里斯托尔便表格尺度 (BSFS) 相比,改善了儿童和提供者之间关于便表格评级的协议. 这种尺度提高了儿科胃肠病学诊断准确性和治疗评估.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床评估工具 临床评估工具
- 儿童健康研究 儿童健康研究
背景情况:
- 准确的便形式报告对于诊断儿科胃肠道疾病和监测治疗疗效至关重要.
- 经过修改的儿童布里斯托尔便形状尺度 (mBSFS-C),一个5类型的尺度,被确认为可靠和有效.
- 在提供者和儿童评级方面,mBSFS-C和传统的7类布里斯托尔便形状尺度 (BSFS) 之间缺乏直接比较.
研究的目的:
- 直接比较使用mBSFS-C与传统BSFS的提供者和儿童评级的协议.
- 为了评估儿科提供者和儿童之间的一致性,在评估便形状时使用两种尺度.
主要方法:
- 儿科胃肠病学提供者和200名儿童 (平均年龄为12岁) 使用mBSFS-C和BSFS评价了35张不同的便照片.
- 照片的呈现方式和尺寸顺序被随机分配,以减轻偏差.
- 对于每个规模和参与者群体,计算了模式评级,确定了协议百分比.
主要成果:
- 与BSFS相比,mBSFS-C在提供者 (90.0%) 和儿童 (84.6%) 之间显示出更高的模式协议 (提供者为77.8%,儿童为71.8%).
- 便照片评级的提供者-儿童对应性在mBSFS-C (35/35匹配) 时比BSFS (30/35匹配) 高.
- 对于尺度呈现,没有观察到顺序效应.
结论:
- 与传统的BSFS相比,mBSFS-C在儿科提供者和儿童之间表现出优越的模式协议.
- 在评估便形式时,提供者-儿童一致性在使用mBSFS-C时得到增强.
- 建议在不同人群和地区进一步验证mBSFS-C.
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