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A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children.

To evaluate the relative utility of clinical and laboratory parameters of dehydration in children for predicting the magnitude of percent less of body weight (PLBW), we studied 97 children who required intravenous fluids for acute dehydration. After a complete history and physical examination, the managing physician made a clinical estimation of dehydration for each child, [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Water balance, hydration status, and fat-free mass hydration in younger and older adults.

BACKGROUND: Older adults are at increased risk of dehydration, yet water balance is understudied in this population. OBJECTIVE: This controlled diet study assessed the effect of age on water input, output, and balance in healthy adults. Hydration status (plasma osmolality and urine specific gravity) and body composition were also measured. DESIGN: Eleven men and 14 [...]

Validity and reliability of clinical signs in the diagnosis of dehydration in children.

OBJECTIVE: To determine the validity and reliability of various clinical findings in the diagnosis of dehydration in children. DESIGN: Prospective cohort study. SETTING: An urban pediatric hospital emergency department. PARTICIPANTS: One hundred eighty-six children ranging in age from 1 month to 5 years old with diarrhea, vomiting, or poor oral fluid intake, either admitted or [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Strategies for ensuring good hydration in the elderly.

Dehydration is a frequent etiology of morbidity and mortality in elderly people. It causes the hospitalization of many patients and its outcome may be fatal. Indeed, dehydration is often linked to infection, and if it is overlooked, mortality may be over 50%. Older individuals have been shown to have a higher risk of developing dehydration [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Age and the elderly, Scientific papers|0 Comments

Feeding and hydration issues for older adults with dementia.

All cultures dictate the need to feed the hungry and create rituals for almost every life passage around the consumption of food and beverage. Yet, in old age and among those who cannot advocate for themselves, mealtime is medicalized and demoted to an insignificant event without dignity or regard for individualized needs. Attention must be [...]