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Clinical Pediatrics
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The Parental Appraisal of the Morbidity of Diarrhea in Infants and Toddlers (PAMODI) Survey

Hans-Iko Huppertz, MD

Children's Hospital, Bremen, Germany, hans-iko.huppertz{at}klinikum-bremen-mitte.de

Johannes Forster, MD

St. Josefs-Hospital, Freiburg, Germany

Ulrich Heininger, MD

University-Children's Hospital Basel, Basel, Switzerland

Reinhard Roos, MD

Hospital Munich-Harlaching, Munich, Germany

Hans-Ulrich Neumann, MD

Private practice, Hamburg, Germany

Thomas Hammerschmidt, PhD

GlaxoSmithKline, Munich, Germany

This study analyzed parental perception of the impact of diarrhea on quality of life of their children. A standardized questionnaire was completed by 2023 parents in Germany with children with diarrhea who were younger than 2 years old. Parents stated the most worrying aspects of diarrhea. A health score was measured using a visual analogue scale (0 = worst health, 100 = best health). Clinical symptoms were quoted by 72% of parents as one of the most worrying dimensions, with duration/frequency of diarrhea and weight loss perceived most meaningful. Next were behavioral/physical symptoms (51%), with an inflamed bottom for mild disease and pain for severe cases being most meaningful. Parental concern is characterized by sympathy and anxiety for the child. The health score for the diarrheal episode was 54.6 for mild and 33.9 for severe cases. Parents perceive a high disease burden of diarrhea and clinically less meaningful aspects play a significant role.

Key Words: diarrhea • disease severity • quality of life • infants • toddlers

This version was published on May 1, 2008

Clinical Pediatrics, Vol. 47, No. 4, 363-371 (2008)
DOI: 10.1177/0009922807310933
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