What's new on defining diarrhea in tube-feeding studies?

Clin Nurs Res. 2003 May;12(2):174-204. doi: 10.1177/1054773803012002005.

Abstract

Nurses who are involved in studies of tube feeding tolerance or who review the literature on this topic are confronted with a myriad of definitions and methods of reporting diarrhea. In a 1992 study, the authors reported that these definition differences influenced results. In a review of the current literature, they determined that little progress had been made toward standardizing definitions and reports of diarrhea in studies of tube feeding. A secondary analysis of stool characteristics of hospitalized patients using various definitions of diarrhea showed there was a positive association between stool frequency and consistency. Criteria for stool consistency in the definitions of diarrhea appeared to have a greater influence on diarrhea outcomes when stool frequency was low. The authors suggest recognition of a taxonomy of definitions of diarrhea in the absence of consensus, which will help guide the design of future investigations and facilitate the evaluation and utilization of research.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Data Collection / methods
  • Data Collection / standards
  • Data Interpretation, Statistical
  • Diarrhea / diagnosis
  • Diarrhea / epidemiology
  • Diarrhea / etiology*
  • Diarrhea / therapy
  • Enteral Nutrition / adverse effects*
  • Humans
  • Incidence
  • Research Design / standards*
  • Risk Factors
  • Time Factors