Review: capillary refill time, abnormal skin turgor, and abnormal respiratory pattern are useful signs for detecting dehydration in children.
نویسنده
چکیده
Study selection and assessment: studies in any language that compared signs, symptoms, and laboratory values with a recognised gold standard for diagnosing dehydration (rehydration weight minus acute weight divided by rehydration weight) in children (0–18 y). Study quality was ranked from highest (level 1 = independent, blind comparison of test with a valid gold standard) to lowest (level 5 = non-independent comparison of test with an uncertain standard of validity, which may incorporate the test result into the gold standard).
منابع مشابه
Is this child dehydrated?
CONTEXT The ability to assess the degree of dehydration quickly and accurately in infants and young children often determines patient treatment and disposition. OBJECTIVE To systematically review the precision and accuracy of symptoms, signs, and basic laboratory tests for evaluating dehydration in infants and children. DATA SOURCES We identified 1561 potential articles by multiple search s...
متن کاملGastroenteritis in children: Part 1. Diagnosis.
Acute gastroenteritis in children is a major cause of morbidity in the United States. Viral infections, primarily from rotavirus, cause 75 to 90 percent of cases. The remaining infections are largely bacterial, with as many as 10 percent of cases secondary to diarrheagenic Escherichia coli. The history and physical examination of children with gastroenteritis should focus on assessing for the p...
متن کاملThe management of children with gastroenteritis and dehydration in the emergency department.
BACKGROUND Acute gastroenteritis is characterized by diarrhea, which may be accompanied by nausea, vomiting, fever, and abdominal pain. OBJECTIVE To review the evidence on the assessment of dehydration, methods of rehydration, and the utility of antiemetics in the child presenting with acute gastroenteritis. DISCUSSION The evidence suggests that the three most useful predictors of 5% or mor...
متن کاملAre bedside features of shock reproducible between different observers?
Shock is often under-reported in children attending hospitals in developing countries. Readily obtainable features of shock (capillary refill time, temperature gradient, pulse volume, and signs of dehydration) are widely used to help prioritise management in the emergency assessment of critically ill or injured children. However, data are lacking on their validity, including, importantly, repro...
متن کاملPerformance of Clinical Signs in the Diagnosis of Dehydration in Children with Acute Gastroenteritis
BACKGROUND Acute evaluation and treatment of children presenting with dehydration represent one of the most common situation in the pediatric emergency department. To identify dehydration in infants and children before treatment, a number of symptoms and clinical signs have been evaluated. The aim of the study was to describe the performance of clinical signs in detecting dehydration in childre...
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عنوان ژورنال:
- Evidence-based nursing
دوره 8 2 شماره
صفحات -
تاریخ انتشار 2005