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Oral versus intravenous rehydration of moderately dehydrated children: a randomized, controlled trial

Spandorfer, P. R., Alessandrini, E. A., Joffe, M. D., Localio, R., & Shaw, K. N. (2005). Pediatrics. Abstract Conclusions: This trial demonstrated that ORT is as effective as IVF for rehydration of moderately dehydrated children due to gastroenteritis in the emergency department. ORT demonstrated noninferiority for successful rehydration at 4 hours and hospitalization rate. Additionally, therapy […]

Randomized clinical trial of rapid versus 24-hour rehydration for children with acute gastroenteritis

Powell, C. V., Priestley, S. J., Young, S., & Heine, R. G. (2011). Pediatrics. Abstract Conclusions: Primary treatment failure and clinical outcomes were similar for RNR and SNR. Although RNR generally reduced the need for hospitalization, discharge home from the ED failed for approximately one-fourth of the patients.

Pediatric rapid fluid resuscitation

Simpson, J. N., & Teach, S. J. (2011). Current opinion in pediatrics. Abstract Conclusions: Rapid fluid resuscitation is most commonly used for children with moderate-to-severe dehydration, or for patients in shock to restore circulation. Concerns regarding potential for fluid overload and electrolyte disturbances and regarding the method of rehydration (i.e., enteral versus parenteral) raise some […]

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

Gorelick, M. H., Shaw, K. N., & Murphy, K. O. (1997). Pediatrics. Abstract Conclusions: Conventionally used clinical signs of dehydration are valid and reliable; however, individual findings lack sensitivity. Diagnosis of clinically important dehydration should be based on the presence of at least three clinical findings. dehydration, capillary refill, clinical assessment, interobserver agreement.

Development of a clinical dehydration scale for use in children between 1 and 36 months of age

Friedman, J. N., Goldman, R. D., Srivastava, R., & Parkin, P. C. (2004). The Journal of pediatrics. Abstract Conclusions: Clinicians and researchers may consider this four-item, 8-point rating scale, developed using formal measurement methodology, as an alternative to scales developed ad hoc.