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

摘要: Abstract Objective To develop a clinical dehydration scale for use in children Study design Prospective cohort study of between 1 and 36 months age who presented to tertiary pediatric emergency department (ED) with gastroenteritis. Children were weighed scored 12 signs, rehydrated, then reweighed rescored when rehydration was completed. Weight change from pre- post-rehydration used assess criterion validity independent global assessments severity by attending physicians nurses as measures construct validity. Formal approaches item selection reduction, reliability, discriminatory power, validity, responsiveness used. Results 137 (median age: 18 months) gastroenteritis studied. The final consisted four characteristics: general appearance, eyes, mucous membranes, tears. measurement properties follows: assessed Pearson's correlation coefficient 0.36 0.57; reliability the intra-class 0.77; power Ferguson's δ 0.83; Wilcoxon signed rank test significant at P Conclusion Clinicians researchers may consider this four-item, 8-point rating scale, developed using formal methodology, an alternative scales ad hoc.