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The Diagnostic Accuracy of Clinical Dehydration Scale in Identifying Dehydration in Children With Acute Gastroenteritis: A Systematic Review Anna Falszewska, Piotr Dziechciarz and Hania Szajewska CLIN PEDIATR published online 9 June 2014 DOI: 10.1177/0009922814538493 The online version of this article can be found at: http://cpj.sagepub.com/content/early/2014/06/09/0009922814538493
Published by: http://www.sagepublications.com
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>> OnlineFirst Version of Record - Jun 9, 2014 What is This?
Downloaded from cpj.sagepub.com at UNIVERSITE LAVAL on June 14, 2014
538493
research-article2014
CPJXXX10.1177/0009922814538493Clinical PediatricsFalszewska et al
Original Article
The Diagnostic Accuracy of Clinical Dehydration Scale in Identifying Dehydration in Children With Acute Gastroenteritis: A Systematic Review
Clinical Pediatrics 1–8 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0009922814538493 cpj.sagepub.com
Anna Falszewska, MD1, Piotr Dziechciarz, MD1, and Hania Szajewska, MD1
Abstract Aim. To systematically update diagnostic accuracy of the Clinical Dehydration Scale (CDS) in clinical recognition of dehydration in children with acute gastroenteritis. Methods. Six databases were searched for diagnostic accuracy studies in which population were children aged 1 to 36 months with acute gastroenteritis; index test was the CDS; and reference test was post-illness weight gain. Results. Three studies involving 360 children were included. Limited evidence showed that in high-income countries the CDS provides strong diagnostic accuracy for ruling in moderate and severe (>6%) dehydration (positive likelihood ratio 5.2-6.6), but has limited value for ruling it out (negative likelihood ratio 0.4-0.55). In low-income countries, the CDS has limited value either for ruling moderate or severe dehydration in or out. In both settings, the CDS had limited value for ruling in or out dehydration 6%) was 13% (range 11% to 60%), and the median prevalence of no or some dehydration (6%) dehydration (positive LR 5.2-6.6), but has limited value for ruling it out (negative LR 0.4-0.55). However, it only applied to high-income countries. In a low-income country, the CDS had limited value either for ruling moderate or severe dehydration in or out. In both settings, the CDS had limited value for ruling in or out no dehydration (
The Diagnostic Accuracy of Clinical Dehydration Scale in Identifying Dehydration in Children With Acute Gastroenteritis: A Systematic Review Anna Falszewska, Piotr Dziechciarz and Hania Szajewska CLIN PEDIATR published online 9 June 2014 DOI: 10.1177/0009922814538493 The online version of this article can be found at: http://cpj.sagepub.com/content/early/2014/06/09/0009922814538493
Published by: http://www.sagepublications.com
Additional services and information for Clinical Pediatrics can be found at: Email Alerts: http://cpj.sagepub.com/cgi/alerts Subscriptions: http://cpj.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav
>> OnlineFirst Version of Record - Jun 9, 2014 What is This?
Downloaded from cpj.sagepub.com at UNIVERSITE LAVAL on June 14, 2014
538493
research-article2014
CPJXXX10.1177/0009922814538493Clinical PediatricsFalszewska et al
Original Article
The Diagnostic Accuracy of Clinical Dehydration Scale in Identifying Dehydration in Children With Acute Gastroenteritis: A Systematic Review
Clinical Pediatrics 1–8 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0009922814538493 cpj.sagepub.com
Anna Falszewska, MD1, Piotr Dziechciarz, MD1, and Hania Szajewska, MD1
Abstract Aim. To systematically update diagnostic accuracy of the Clinical Dehydration Scale (CDS) in clinical recognition of dehydration in children with acute gastroenteritis. Methods. Six databases were searched for diagnostic accuracy studies in which population were children aged 1 to 36 months with acute gastroenteritis; index test was the CDS; and reference test was post-illness weight gain. Results. Three studies involving 360 children were included. Limited evidence showed that in high-income countries the CDS provides strong diagnostic accuracy for ruling in moderate and severe (>6%) dehydration (positive likelihood ratio 5.2-6.6), but has limited value for ruling it out (negative likelihood ratio 0.4-0.55). In low-income countries, the CDS has limited value either for ruling moderate or severe dehydration in or out. In both settings, the CDS had limited value for ruling in or out dehydration 6%) was 13% (range 11% to 60%), and the median prevalence of no or some dehydration (6%) dehydration (positive LR 5.2-6.6), but has limited value for ruling it out (negative LR 0.4-0.55). However, it only applied to high-income countries. In a low-income country, the CDS had limited value either for ruling moderate or severe dehydration in or out. In both settings, the CDS had limited value for ruling in or out no dehydration (
