Hospital PracticeCLINICAL SIGNS OF DEHYDRATION IN CHILDREN
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Cited by (115)
Clinical and Laboratory Predictors of Dehydration Severity in Children With Diabetic Ketoacidosis
2023, Annals of Emergency MedicineManagement of Diarrhea
2020, Pediatric Gastrointestinal and Liver Disease, Sixth EditionHyperglycemic Crises: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State
2015, Endocrinology: Adult and PediatricDiagnosing clinically significant dehydration in children with acute gastroenteritis using noninvasive methods: A meta-analysis
2015, Journal of PediatricsCitation Excerpt :These include an overall hydration assessment by: (1) junior doctors, who were instructed to classify children as being 5%-10% dehydrated based on their hospital's guideline32; (2) the fellow or attending physician, by using a 9-item “standard clinical scale”33; (3) the attending physician, blinded to ultrasound findings and using an ordinal scale (<5%, 5%-10%, >10%)4; (4) the pediatric emergency physician, who estimated the child's degree of dehydration by using a 7-point Likert scale (very mild to very severe)34; and (5) having the treating pediatric emergency medicine attending physicians record their clinical impression (1-10 scale) for percent dehydration.35 Excluding a study with 100% sensitivity because it included only children deemed to be 5%-10% dehydrated (ie, excluded children who might have been false negatives),32 the sensitivity of this approach to detect ≥5% dehydration ranged from 33% to 78%. The pooled results from 4 studies for positive and negative LRs were 2.13 (95% CI 1.33-3.44) and 0.48 (95% CI 0.28-0.82), respectively.