Physician misdiagnosis of dehydration in older adults

INTRODUCTION: Dehydration is a difficult clinical diagnosis in older adults because the physical signs of dehydration are often confusing. The clinical consequences of a diagnosis of dehydration are critical, since dehydration implies increased morbidity and mortality and aggressive rehydration can improve clinical outcome. The diagnosis is a sentinel event for nursing homes, and often is [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

A volume loading test for the detection of hypovolemia and dehydration.

BACKGROUND AND OBJECTIVES: There is a need for simple method allowing detection of dehydration and hypovolemia. Based on a new theory of homeostatic blood states, we hypothesized that hemodilution following standardized crystalloid fluid bolus can be used to discriminate between baseline normohydration and dehydration, also normovolemia and hypovolemia. METHODS: Computer simulations based on previously published [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Validation of the clinical dehydration scale for children with acute gastroenteritis.

OBJECTIVE: We previously created a clinical dehydration scale. Our objective was to validate the clinical dehydration scale with a new cohort of patients with acute gastroenteritis who were assessed in a tertiary emergency department in a developed country. METHODS: A prospective observational study was performed in an emergency department at a large pediatric tertiary center [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Saliva parameters as potential indices of hydration status during acute dehydration.

PURPOSE: Firstly, to identify whether saliva flow rate, osmolality, and total protein are potential markers of hydration, we compared changes in these parameters with changes in plasma osmolality during progressive dehydration. Secondly, we compared the sensitivity of saliva parameters to track hydration changes with the sensitivity of urine osmolality. Thirdly, to test the hypothesis that [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Clinical assessment of dehydration in older people admitted to hospital: what are the strongest indicators?

Due to an absence of published primary data, this study explores dehydration prevalence and the change in physiological parameters frequently used to assess dehydration (fluid deficit) in older hospitalized people, as no standard measurement method exists. This observational longitudinal cohort study recruited 43 people aged 60 years or over, voluntarily admitted to a tertiary teaching [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

The use of body mass changes as a practical measure of dehydration in team sports.

Body mass changes, hematocrit, specific gravity and urine colour were recorded during two games of soccer to determine which of these methods was the most practical in a field setting for monitoring dehydration. Members (n=13) of a premiership soccer team with a mean age of 22.6 (+/-4.9) years old, height of 177.8 (+/-7.1)cm and sum [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Serum markers of chronic dehydration are associated with saliva spinability

Findings of a relationship between saliva and dehydration have been observed, but the precise nature of these relationships is unclear and no evidence of a direct link has been found. In particular, no study reports a relationship between chronic dehydration and saliva conditions in community-dwelling older adults. This study aimed to identify whether salivary conditions [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments