Developing a quick and practical screen to improve the identification of poor hydration in geriatric and rehabilitative care

Archives of Gerontology and Geriatrics

Volumn 50, Issue 2, 2010, Pages 156-164

  Vivanti, Angela ^a,c   Harvey, Keren ^b   Ash, Susan ^c  

^a PRINCESS ALEXANDRA HOSPITAL   (Australia)

^b THE PRINCE CHARLES HOSPITAL   (Australia)

^c QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

Adjusting for potential confounders; Dehydration screening of elderly patients; Dehydration screening tool; Geriatric rehabilitation; Hospital dehydration

Indexed keywords

AGED; ARTICLE; CLINICAL ASSESSMENT; CONFOUNDING VARIABLE; CONTROLLED STUDY; DEHYDRATION; FEMALE; GERIATRIC CARE; GERIATRIC REHABILITATION; HOSPITAL PATIENT; HUMAN; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; MOUTH EXAMINATION; PRIORITY JOURNAL; SCREENING TEST; SENSITIVITY AND SPECIFICITY; XEROSTOMIA;

AGED; AGED, 80 AND OVER; BODY MASS INDEX; DEHYDRATION; FEMALE; HEALTH SERVICES FOR THE AGED; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; QUESTIONNAIRES; REHABILITATION NURSING;

EID: 74449085760     PISSN: 01674943     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.archger.2009.03.003     Document Type: Article

References (44)

1. Aaronson N.K., Ahmedzai S., Bergman B., Bullinger M., Cull A., Duez N.J., Filiberti A., Flechtner H., Fleishman S.B., De Haes J.C.J.M., Kaasa S., Klee M., Osoba D., Razavi D., Rofe P.B., Schraub S., Sneeuw K., Sullivan M., and Takeda F. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J. Nat. Cancer Inst. 85 (1993) 365-376
2. Adams F. How much do elders drink?. Geriatr. Nurs. 9 (1988) 218-221
3. Baker J.P., Detsky A.S., Wesson D.E., Wolman S.L., Stewart S., Whitewell J., Langer B., and Jeejeebhoy K.N. Nutritional assessment: a comparison of clinical judgement and objective measurements. New Engl. J. Med. 306 (1982) 969-972
4. Bidlack W.R., and Wang W. Nutritional requirements of elderly. In: Morley J.E., Glick Z., and Rubenstein L.Z. (Eds). Geriatric Nutrition: A Comprehensive Review (1995), Raven Press, New York 25-50
5. Bowker L.K., Briggs R.S., Gallagher P.J., and Robertson D.R. Raised blood urea in the elderly: a clinical and pathological study. Postgrad. Med. J. 68 (1992) 174-179
6. Burns A., Lawlor B., and Craig S. Assessment scales in old age psychiatry (1999), Martin Dunitz, London
7. Denny M.J.S., and Dawson T.J. Effects of dehydration on body-water distribution in desert kangaroos. Am. J. Physiol. 229 (1975) 251-254
8. Easterbrook P.J., Berlin J.A., Gopalan R., and Matthews D.R. Publication bias in clinical research. Lancet 337 (1991) 867-872
9. Eaton D., Bannister P., Mulley G.P., and Connolly M.J. Axillary sweating in clinical assessment of dehydration in ill elderly patients. Br. Med. J. 308 (1994) 1271-1272
10. English R. Towards Better Nutrition for Australians (1987), Australian Government Publishing Service, Canberra
11. Faunt J.D., Wilkinson T.J., Aplin P., Henschke P., Webb M., and Penhall R.K. The effect in the heat: heat-related hospital presentations during a ten day heat wave. Aust. NZ J. Med. 25 (1995) 117-121
12. Ferguson M., Capra S., Bauer J., and Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 15 (1999) 458-464
13. Ferrucci L., Guralnik J.M., Pahor M., Corti M.C., and Havlik R.J. Hospital diagnoses, Medicare charges, and nursing home admissions in the year when older persons become severely disabled. J. Am. Med. Assoc. 277 (1997) 728-734
14. Fries B.E., Hawes C., Morris J.N., Phillips C.D., Mor V., and Park P.S. Effect of the national resident assessment instrument on selected health conditions and problems. J. Am. Geriatr. Soc. 45 (1997) 994-1001
15. Gross C.R., Lindquist R.D., Woolley A.C., Granieri R., Allard K., and Webster B. Clinical indicators of dehydration severity in elderly patients. J. Emerg. Med. 10 (1992) 267-274
16. Himmelstein D.U., Jones A.A., and Woolhandler S. Hypernatremic dehydration in nursing home patients: an indicator of neglect. J. Am. Geriatr. Soc. 31 (1983) 466-471
17. Horowitz M., and Samueloff S. Plasma water shifts during thermal dehydration. J. Appl. Physiol. Respir. Environ. Exerc. Physiol. 47 (1979) 738-744
18. Horowitz M., Samueloff S., and Adler H.J. Acute dehydration: body water distribution in acclimated and nonacclimated Psammomys obesus. J. Appl. Physiol. 44 (1978) 585-588
19. Inouye S.K. Prevention of delirium in hospitalized older patients: risk factors and targeted intervention strategies. Ann. Med. 32 (2000) 257-263
20. Kahn R.L., Goldfarb A.L., Pollack M., and Peck A. Brief objective measure for the determination of mental status in the aged. Am. J. Psychiatry 117 (1960) 326-328
21. Long C.A., Marin P., Bayer A.J., Shetty H., and Pathy M.S.J. Hypernatraemia in an adult in-patient population. Postgrad. Med. J. 67 (1991) 643-645
22. Mange K., Matsuura D., Cizman B., Soto H., Ziyadeh F.N., Goldfarb S., and Neilson E.G. Language guiding therapy: the case of dehydration versus volume depletion. Ann. Intern. Med. 127 (1997) 848-853
23. Maughan R.J., and Griffin J. Caffeine ingestion and fluid balance: a review. J. Hum. Nutr. Diet. 16 (2003) 411-420
24. McGee S., Abernethy III W.B., and Simel D.L. Is this patient hypovolemic?. J. Am. Med. Assoc. 281 (1999) 1022-1029
25. Molaschi M., Ponzetto M., Massaia M., Villa L., Scarafiotti C., and Ferrario E. Hypernatremic dehydration in the elderly on admission to hospital. J. Nutr. Health Aging 1 (1997) 156-160
26. Murphy M.S. Guidelines for managing acute gastroenteritis based on a systematic review of published research. Arch. Dis. Childhood 79 (1998) 279-284
27. National Centre for Classification in Health. Australian coding standards for ICD-10-AM (2002), National Centre for Classification in Health, Sydney
28. Nose H., Morimoto T., and Ogura K. Distribution of water losses among fluid compartments of tissues under thermal dehydration in the rat. Jpn. J. Physiol. 33 (1983) 1019-1029
29. O'Neill P.A., Faragher E.B., Davies I., Wears R., McLean K.A., and Fairweather D.S. Reduced survival with increasing plasma osmolality in elderly continuing-care patients. Age Ageing 19 (1990) 68-71
30. Sansevero A.C. Dehydration in the elderly: strategies for prevention and management. Nurse Pract. 22 (1997) 41-42, 51-47, 63-66 passim
31. Sarhill N., Walsh D., Nelson K., and Davis M. Evaluation and treatment of cancer-related fluid deficits: volume depletion and dehydration. Support Care Cancer 9 (2001) 408-419
32. Senay Jr. L.C. Changes in plasma volume and protein content during exposures of working men to various temperatures before and after acclimatization to heat: separation of the roles of cutaneous and skeletal muscle circulation. J. Physiol. 224 (1972) 61-81
33. Senay L.C., and Christensen M.L. Changes in blood plasma during progressive dehydration. J. Appl. Physiol. 21 (1965) 1136-1140
34. Seymour D.G., Henschke P.J., Cape R.D., and Campbell A.J. Acute confusional states and dementia in the elderly: the role of dehydration/volume depletion, physical illness and age. Age Ageing 9 (1980) 137-146
35. Song F., Eastwood A., Gilbody S., and Duley L. The role of electronic journals in reducing publication bias. Med. Inform. Internet Med. 24 (1999) 223-229
36. The EuroQol Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 16 (1990) 199-208
37. Thomas D.R., Tariq S.H., Makhdomm S., Haddad R., and Moinuddin A. Physician misdiagnosis of dehydration in older adults. J. Am. Med. Dir. Assoc. 4 (2003) 251-254
38. Vivanti A., Harvey K., Ash S., and Battistutta D. Clinical assessment of dehydration in older people admitted to hospital. What are the strongest indicators?. Arch. Gerontol. Geriatr. 47 (2008) 340-355 10.1016/j.archger.2007.08.016
39. Wakefield B., Mentes J., Diggelmann L., and Culp K. Monitoring hydration status in elderly veterans. West. J. Nurs. Res. 24 (2002) 132-142
40. Warren J.L., Bacon W.E., Harris T., McBean A.M., Foley D.J., and Phillips C. The burden and outcomes associated with dehydration among US elderly, 1991. Am. J. Pub. Health 84 (1994) 1265-1269
41. Weinberg A.D., and Minaker K.L. Dehydration. Evaluation and management in older adults. J. Am. Med. Assoc. 274 (1995) 1552-1556
42. WHO (World Health Organization). Health and ageing-a discussion paper (2002). http://whqlibdoc.who.int/hq/2001/WHO_NMH_HPS_01.1.pdf
43. Wilson J.M.G., and Jungner G. Principles and practice of screening for disease. Public Health Pap. WHO 34 (1968) 26-39
44. Zurovsky Y., Shkolnik A., and Ovadia M. Conservation of blood plasma fluids in hamadryas baboons after thermal dehydration. J. Appl. Physiol. Respir. Environ. Exerc. Physiol. 57 (1984) 768-771