Derivation and Internal Validation of a Score to Predict Dehydration Severity in Patients over 5 Years with Acute Diarrhea
| Autor: | Rochelle K. Rosen, Stephanie C. Garbern, Adam C. Levine, Nur H. Alam, Eric J. Nelson, John Austin Lee, Kexin Qu, Monique Gainey, Sabiha Nasrin, Meagan A. Barry, Christopher H. Schmid |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Diarrhea Male Resuscitation Pediatrics medicine.medical_specialty Adolescent Severity of Illness Index Article Cohort Studies Young Adult Predictive Value of Tests Virology Humans Medicine In patient Prospective Studies Dehydration Derivation Child Prospective cohort study Aged Aged 80 and over Bangladesh Receiver operating characteristic Diagnostic Tests Routine business.industry Reproducibility of Results Middle Aged medicine.disease Confidence interval Infectious Diseases Acute Disease Practice Guidelines as Topic Vomiting Female Parasitology medicine.symptom business Forecasting |
| Zdroj: | Am J Trop Med Hyg |
| ISSN: | 1476-1645 0002-9637 |
| DOI: | 10.4269/ajtmh.21-0143 |
| Popis: | Diarrheal disease accounts for more than one million deaths annually in patients over 5 years of age. Although most patients can be managed with oral rehydration solution, patients with severe dehydration require resuscitation with intravenous fluids. Scoring systems to assess dehydration have been empirically derived and validated in children under 5 years, but none have been validated for patients over 5 years. In this study, a prospective cohort of 2,172 patients over 5 years presenting with acute diarrhea to International Centre for Diarrhoeal Disease Research, Dhaka Hospital, Bangladesh, were assessed for clinical signs of dehydration. The percent difference between presentation and posthydration stable weight determined severe (≥ 9%), some (3–9%), or no ( |
| Databáze: | OpenAIRE |
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