{"id":1247,"date":"2011-10-11T10:00:00","date_gmt":"2011-10-11T10:00:00","guid":{"rendered":"http:\/\/www.emlitofnote.com\/?p=1247"},"modified":"2016-08-01T08:59:00","modified_gmt":"2016-08-01T15:59:00","slug":"popular-dehydration-scales-fare-poorly-in-3rd-world-use","status":"publish","type":"post","link":"https:\/\/www.emlitofnote.com\/?p=1247","title":{"rendered":"Popular Dehydration Scales Fare Poorly In 3rd-World Use"},"content":{"rendered":"<div>I like the author&#8217;s use of the word &#8220;popular&#8221; to describe pediatric clinical dehydration scales.&nbsp; In case you&#8217;re not part of the &#8220;in crowd&#8221;, today&#8217;s &#8220;popular&#8221; dehydration scales include the World Health Organization scale, the Gorelick scale, and the Clinical Dehydration Scale.<\/div>\n<div><\/div>\n<div>This article is a prospective application of each of the three scales by a healthcare provider upon admission to one of three hospitals in Rwanda.&nbsp; Children were weighed on admission and then on discharge, and the gain in weight was used as the gold standard for comparison to each standardized dehydration scale.<\/div>\n<div><\/div>\n<div>So, bad news:&nbsp; each of these dehydration scoring scales is too complicated to hold in working memory, and you&#8217;d have to have it posted on a wall.<\/div>\n<div><\/div>\n<div>But, good news:&nbsp; in the words of the authors, &#8220;The WHO scale, Gorelick scale, and CDS did not have an area on the ROC curve statistically different from the reference line.&#8221;<\/div>\n<div><\/div>\n<div>Which means, you get to save your wall space because the dehydration scales gave false negatives or false positives as frequently as they gave true negatives and true positives.&nbsp; More research is necessary to derive more accurate clinical assessment of children presenting with possible dehydration.<\/div>\n<div><\/div>\n<div>&#8220;Comparing the accuracy of the 3 popular clinical dehydration scales in children with diarrhea.&#8221;<\/div>\n<div><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21902838\">www.ncbi.nlm.nih.gov\/pubmed\/21902838<\/a><\/div>\n\n<div class=\"twitter-share\"><a href=\"https:\/\/twitter.com\/intent\/tweet?via=emlitofnote\" class=\"twitter-share-button\">Tweet<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>I like the author&#8217;s use of the word &#8220;popular&#8221; to describe pediatric clinical dehydration scales.&nbsp; In case you&#8217;re not part of the &#8220;in crowd&#8221;, today&#8217;s &#8220;popular&#8221; dehydration scales include the World Health Organization scale, the Gorelick scale, and the Clinical Dehydration Scale. This article is a prospective application of each of the three scales by &hellip; <a href=\"https:\/\/www.emlitofnote.com\/?p=1247\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Popular Dehydration Scales Fare Poorly In 3rd-World Use&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[29],"tags":[],"class_list":["post-1247","post","type-post","status-publish","format-standard","hentry","category-pediatrics"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7KesJ-k7","jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1247"}],"version-history":[{"count":1,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1247\/revisions"}],"predecessor-version":[{"id":2964,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1247\/revisions\/2964"}],"wp:attachment":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}