Fecal_incontinence_severity_index_guideline v.1
Evaluates the impact of adult incontinence leakage on the quality of life of patients suffering from fecal incontinence.
To calculate FISI score and its interpretation.
Variables: 1. Incontinent to gas - Never (0 points) - 1 to 3 times per month (4 points) - 1 time per week (6 points) - 2 or more times per week (8 points) - 1 time per day (11 points) - 2 or more times per day (12 points) 2. Incontinent for mucus - Never (0 points) - 1 to 3 times per month (3 points) - 1 time per week (5 points) - 2 or more times per week (7 points) - 1 time per day (10 points) - 2 or more times per day (12 points) 3. Incontinent for liquid stool - Never (0 points) - 1 to 3 times per month (8 points) - 1 time per week (10 points) - 2 or more times per week (13 points) - 1 time per day (17 points) - 2 or more times per day (19 points) 4. Incontinent for solid stool - Never (0 points) - 1 to 3 times per month (8 points) - 1 time per week (10 points) - 2 or more times per week (13 points) - 1 time per day (16 points) - 2 or more times per day (18 points) Formula: The sum of the ordinal scores. Interpretation: The original study by Rockwood et al. does not provide a specific cut off and the rule of thumb is the one introduced above. Patients who score closer to 61 are likely to have their quality of life severely impacted by the fecal incontinence they suffer from. A subsequent study by Cavanaugh et al. found that FISI scores above 30 are more likely to be associated with an impaired quality of life than scores of 30 and below.
Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum. 1999 Dec;42(12):1525-32. doi: 10.1007/BF02236199. PMID: 10613469. Cavanaugh M, Hyman N, Osler T. Fecal incontinence severity index after fistulotomy: a predictor of quality of life. Dis Colon Rectum. 2002 Mar;45(3):349-53. doi: 10.1007/s10350-004-6181-5. PMID: 12068193. Hayden DM, Weiss EG. Fecal incontinence: etiology, evaluation, and treatment. Clin Colon Rectal Surg. 2011 Mar;24(1):64-70. doi: 10.1055/s-0031-1272825. PMID: 22379407; PMCID: PMC3140335. Norton C, Whitehead WE, Bliss DZ, Harari D, Lang J; Conservative Management of Fecal Incontinence in Adults Committee of the International Consultation on Incontinence. Management of fecal incontinence in adults. Neurourol Urodyn. 2010;29(1):199-206. doi: 10.1002/nau.20803. PMID: 20025031.
openEHR-EHR-OBSERVATION.fisi, openEHR-EHR-EVALUATION.fisi_assessment
