2020 Volume 2 Issue 1 Pages 9-15
Rationale: In this study, we reviewed and examined a stool chart for evaluating the validity of ongoing tube feeding.
Methods: We modified the King′s stool chart proposed by Whelan et al., and the resulting modified King′s stool chart (MKSC) was used to evaluate 47 patients who were receiving a nutrition support team intervention with tube feeding. MKSC levels and risk factors for diarrhea were analyzed.
Results: Multivariate analysis suggested that hypoalbuminemia was associated with an increase in MKSC level. It was also suggested that the highest MKSC level during intervention was associated with alleviation of diarrhea after intervention. The receiver operating characteristic curve, had an area under the curve (AUC) of 0.75, a cutoff value of 15, sensitivity of 1.0, and specificity of 0.575 (p = 0.038, R2 = 0.11). These findings suggest that for patients whose MKSC reached 15 points even if only once, stool form did not improve with a probability of 73%, allowing the discontinuation of tube feeding. Considering these results, we evaluated the details of the chart.
Conclusions: Evaluation of stool using the MKSC is useful for predicting alleviation of diarrhea in nutrition management with tube feeding.
