Physician misdiagnosis of dehydration in older adults

Journal of the American Medical Directors Association

Volumn 5, Issue 2 SUPPL., 2004, Pages

  Thomas, David R ^a   Tariq, Syed H ^a   Makhdomm, Sohail ^a   Haddad, Rami ^a   Moinuddin, Asif ^a  

^a SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Dehydration; Fluids; Quality indicators

Indexed keywords

CREATININE; SODIUM; UREA;

AGED; ARTICLE; BLOOD VOLUME; CLINICAL FEATURE; CLINICAL OBSERVATION; CONTROLLED STUDY; CREATININE BLOOD LEVEL; DEHYDRATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC ERROR; DIFFERENTIAL DIAGNOSIS; FEMALE; FLUID THERAPY; GERIATRIC PATIENT; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; HYPOVOLEMIA; LABORATORY DIAGNOSIS; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; SERUM OSMOLARITY; SODIUM BLOOD LEVEL; UNIVERSITY HOSPITAL; UREA NITROGEN BLOOD LEVEL; HEALTH CARE QUALITY; HEALTH SURVEY; MEDICAL STAFF; STANDARD; STATISTICS; UNITED STATES;

AGED; DEHYDRATION; DIAGNOSTIC ERRORS; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MISSOURI; PATIENT ADMISSION; QUALITY OF HEALTH CARE; SENTINEL SURVEILLANCE;

EID: 1642340524     PISSN: 15258610     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1525-8610(04)70088-2     Document Type: Article

References (17)

1. Kokko JP. Disorders of fluid volume, electrolyte and acid-base balance. In: Cecil Textbook of Medicine, 20th Ed., Bennett JC, Plum F, eds. Philadelphia: WB Saunders Company, 1996.
2. Weinberg AD, Minaker KL, and the Council on Scientific Affairs, American Medical Association. Dehydration: Evaluation and Management in Older Adults. JAMA 1995;274:1552-1556.
3. Molaschi M, Ponzetto M, Massaia M, et al. Hypernatremic dehydration in the elderly on admission to hospital. J Nutr Health Aging 1997;1: 156-160.
4. Stastistica for Windows v. 6.0, StatSoft, Inc. Tulsa, OK.
5. Wandel JC. The use of postural signs in the assessment of fluid volume status. J Prof Nurs 1990;6:46-54.
6. Bhalla A, Sankaralingam S, Dundas R, et al. Influence of raised plasma osmolality on clinical outcome after acute stroke. Stroke 2000;31:2043-2048.
7. Casimiro C, Garcia-de-Lorenzo A, Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition 2002;18:408-414.
8. Masotti L, Ceccarelli E, Cappelli R, et al. Length of hospitalization in elderly patients with community-acquired pneumonia. Aging (Milano) 2000;12:35-41.
9. Sarhill N, Walsh D, Nelson K, Davis M. Evaluation and treatment of cancer-related fluid deficits: Volume depletion and dehydration. Support Care Cancer 2001;9:408-419.
10. Fries BE, Hawes C, Morris JN, et al. Effect of the National Resident Assessment Instrument on selected health conditions and problems. J Am Geriatr Soc 1997;45:994-1001.
11. Mukamel DB. Risk-adjusted outcome measures and quality of care in nursing homes. Med Care 1997;35:367-385.
12. Mange K, Matsuura D, Cizman, B, et al. Language guiding therapy: The case of dehydration versus volume depletion. Ann Intern Med 1997;127: 848-853.
13. Anonymous. Florida initiative aims to slash unnecessary admissions due to 'catch-all' dehydration diagnosis. Clini Resour Manage 2001;2:77-9, 65.
14. Ritz P. Bioelectrical impedance analysis estimation of water compartments in elderly diseased patients: The source study. J Gerontol A Biol Sci Med Sci 2001;56:M344-348.
15. O'Brien C, Baker-Fulco CJ, Young AJ, Sawka MN. Bioimpedance assessment of hypohydration. Med Sci Sports Exerc 1999;31:1466-1471.
16. Olde Rikkert MG, Deurenberg P, Jansen RW, et al. Validation of multi-frequency bioelectrical impedance analysis in detecting changes in fluid balance of geriatric patients. J Am Geriatr Soc 1997;45:1345-1351.
17. McGee S, Abernethy WB III, Simel DL. Is this patient hypovolemic? JAMA 1999;281:1022-1029.