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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Validation of the clinical dehydration scale for children with acute gastroenteritis.
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Validation of the clinical dehydration scale for children with acute gastroenteritis.

机译：儿童急性肠胃炎临床脱水量表的验证。

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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 in Canada. Children 1 month to 5 years of age with symptoms of acute gastroenteritis who were assessed in the emergency department were enrolled consecutively during a 4-month period. The main outcome measures were length of stay, proportion of children receiving intravenous fluid rehydration, and proportions of children with abnormal serum pH values or bicarbonate levels. RESULTS: A total of 205 children were enrolled, with a mean age of 22.4 +/- 14.9 months; 103 (50%) were male. The distribution of severity categories was as follows: no dehydration (score of 0), n = 117 (57%); some dehydration (score of 1-4), n = 83 (41%); moderate/severe dehydration (score of 5-8), n = 5 (2%). The 3 dehydration categories were significantly different with respect to the validation hypotheses (length of stay, mean +/- SD: none, 245 +/- 181 minutes; some, 397 +/- 302 minutes; moderate/severe, 501 +/- 389 minutes; treatment with intravenous fluids: none, n =17, 15%; some, n = 41, 49%; moderate/severe, n = 4, 80%; number of vomiting episodes in the 7 days before the emergency department visit: none, 8.4 +/- 7.7 episodes; some, 13 +/- 10.7 episodes; moderate/severe, 30.2 +/- 14.8 episodes). CONCLUSION: The clinical dehydration scale and the 3 severity categories were valid for a prospectively enrolled cohort of patients who were assessed in our tertiary emergency department. The scoring system was valuable in predicting a longer length of stay and the need for intravenous fluid rehydration for children with symptoms of acute gastroenteritis.
机译：目的：我们之前创建了一个临床脱水量表。我们的目标是与一组在发达国家的三级急诊科中接受评估的新的急性胃肠炎患者一起验证临床脱水量表。方法：前瞻性观察研究是在加拿大一家大型儿科三级中心的急诊科进行的。在急诊科评估的1个月至5岁的急性胃肠炎症状儿童在4个月内连续入组。主要结局指标为住院时间，接受静脉补液的儿童比例以及血清pH值或碳酸氢盐水平异常的儿童比例。结果：共有205名儿童入组，平均年龄为22.4 +/- 14.9个月; 103名（50％）是男性。严重程度类别的分布如下：无脱水（得分为0），n = 117（57％）;某些脱水（1-4分），n = 83（41％）;中度/重度脱水（5-8分），n = 5（2％）。 3种脱水类别在验证假设方面有显着差异（住院时间，平均+/- SD：无，245 +/- 181分钟;一些，397 +/- 302分钟;中/重度，501 +/- 389分钟;用静脉输液治疗：无，n = 17，15％;一些，n = 41，49％;中/重度，n = 4，80％;急诊就诊前7天的呕吐次数：无，8.4 +/- 7.7集;有的，13 +/- 10.7集;中/重度，30.2 +/- 14.8集）。结论：临床脱水量表和3种严重程度类别对在我们三级急诊科接受评估的前瞻性入组患者有效。评分系统对于预测急性胃肠炎症状儿童的住院时间更长和需要静脉补液具有重要意义。

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