External validation of the clinical dehydration scale for children with acute gastroenteritis

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
B BaileyPatricia C Parkin

Abstract

The objective was to validate the clinical dehydration scale (CDS) for children with gastroenteritis in a different pediatric emergency department (ED) from where it was initially derived and validated. A prospective cohort study was performed in a tertiary care pediatric ED over a 1-year period. A sample of triage nurses were trained in applying the CDS. The CDS consists of four clinical characteristics (general appearance, eyes, mucous membranes, and tears), each of which are scored 0, 1, or 2 for a total score of 0 to 8, with 0 representing no dehydration; 1 to 4, some dehydration; and 5 to 8, moderate/severe dehydration. Children 1 month to 5 years of age with vomiting and/or diarrhea who had the CDS documented at triage and a final diagnosis of gastroenteritis, gastritis, or enteritis were enrolled. Exclusion criteria included a chronic disease, treatment with intravenous (IV) rehydration within the previous 24 hours, visit to the ED for the same illness in the 7 days prior to arrival, and diarrhea of more than 10 days' duration. The primary outcome was the length of stay (LOS) in the ED from the time of seeing a physician to discharge, analyzed with a Kruskal-Wallis test. From April 2008 to March 2009, 150 patients with a...Continue Reading

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Citations

Apr 26, 2013·Current Opinion in Pediatrics·Michelle Niescierenko, Richard Bachur
Oct 19, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·J GravelB Bailey
Sep 3, 2013·The Journal of Emergency Medicine·Stephen B FreedmanPatricia C Parkin
Feb 27, 2013·Journal of Paediatrics and Child Health·Stephen B Freedman, Denis F Geary
Nov 21, 2014·Critical Ultrasound Journal·Joshua JaureguiSachita P Shah
Feb 3, 2015·The Journal of Pediatrics·Stephen B FreedmanUNKNOWN Pediatric Emergency Research Canada Gastroenteritis Study Group
Apr 23, 2016·Acta Paediatrica·Andrea Lo VecchioAlfredo Guarino
Feb 3, 2016·Journal of Pediatric Gastroenterology and Nutrition·Andrea Lo VecchioAlfredo Guarino
Mar 10, 2017·Pediatric Emergency Care·Marissa A HendricksonAnupam B Kharbanda
Dec 30, 2017·Journal of Pediatric Gastroenterology and Nutrition·Doaa El AmrousySamir Hassan
May 26, 2017·Pediatric Emergency Care·Stephen B FreedmanAdam Cheng
Jun 3, 2017·European Journal of Pediatrics·Anna FalszewskaHania Szajewska
Oct 13, 2017·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Jungmin KwakKidong Eom
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Apr 25, 2012·Pediatrics·Laura M Kinlin, Stephen B Freedman

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