Does a standardised scoring system of clinical signs reduce variability between doctors' assessments of the potentially dehydrated child?

Journal of Paediatrics and Child Health

Volumn 46, Issue 3, 2010, Pages 103-107

  Roland, Damian ^a   Clarke, Colin ^b   Borland, Meredith L ^c,d   Pascoe, Elaine M ^c,d  

^a LEICESTER ROYAL INFIRMARY   (United Kingdom)

^b ROYAL PERTH HOSPITAL   (Australia)

^c PRINCESS MARGARET HOSPITAL FOR CHILDREN   (Australia)

^d UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

Author keywords

Child; Clinical assessment; Dehydration; Pre school; Scoring methods

Indexed keywords

ARTICLE; CAPILLARY FLOW; CHILD; CLINICAL ASSESSMENT; CONSULTATION; CORRELATION COEFFICIENT; DEHYDRATION; DISEASE SEVERITY; GASTROENTERITIS; HUMAN; INFANT; MAJOR CLINICAL STUDY; MEDICAL PERSONNEL; PHYSICIAN; PHYSIOLOGY; PRESCHOOL CHILD; PRIORITY JOURNAL; SCORING SYSTEM;

CHILD; CHILD, PRESCHOOL; DEHYDRATION; DIAGNOSTIC ERRORS; FEMALE; GASTROENTERITIS; HUMANS; INFANT; INTERNSHIP AND RESIDENCY; MALE; MEDICAL STAFF, HOSPITAL; OBSERVER VARIATION; PEDIATRICS; PHYSICAL EXAMINATION; REFERENCE STANDARDS; REGRESSION ANALYSIS; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; WESTERN AUSTRALIA;

EID: 77949695526     PISSN: 10344810     EISSN: 14401754     Source Type: Journal    
DOI: 10.1111/j.1440-1754.2009.01646.x     Document Type: Article

References (18)

1. Armon K, Stephenson TJ, MacFaul R et al. Determining the common presenting problems to paediatric accident and emergency. Paediatr. Today 1999 7 : 20.
2. Black RE, Morris SS, Bryce J Where and why are 10 million children dying every year? Lancet 2003 361 : 2226 2234.
3. Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? J. Am. Med. Assoc. 2004 291 : 2746 2754.
4. Friedman JN, Goldman RD, Srivasta R et al. Development of a clinical dehydration scale for use in children between 1 and 36 months of age. J. Paediatr. 2004 145 : 201 207.
5. Vega RM, Avner JR. A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Pediatr. Emerg. Care 1997 13 : 179 182.
6. American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Acute Gastroenteritis. Practice parameter: the management of acute gastroenteritis in young children. Pediatrics 1996 97 : 424 435.
7. Armon K, Stephenson T, MacFaul R et al. An evidence based guideline for acute diarrhoea management. Arch. Dis. Child. 2001 85 : 132 142.
8. Mackenzie A, Barnes G, Shann F. Clinical signs of dehydration in children. Lancet 1989 2 : 605 607.
9. Gorelick MH, Shaw KN, Baker MD. Performance of clinical signs in the diagnosis of dehydration in children. Arch. Pediatr. Adolesc. Med. 1994 148 : 73. Abstract.
10. Koves I, Neutze J, Donath S et al. The accuracy of clinical assessment of dehydration during diabetic ketoacidosis in childhood. Diabetes Care 2004 27 : 2485 2487.
11. Gorelick MH, Shaw KN, Murphy KO. Validity and reliability of clinical signs in the diagnosis of dehydration in children. Pediatrics 1997 99 : e6.
12. Otieno H, Were E, Ahmed I et al. Are bedside features of shock reproducible between different observers? Arch. Dis. Child. 2004 89 : 977 979.
13. Nager A, Wang V. Comparison of nasogastric and intravenous methods of rehydration in Pediatric patients with acute dehydration. Pediatrics 2002 109 : 566 572.
14. Streiner DL, Norman G. Health and Measurement Scales, 2nd edn. Oxford : Oxford University Press, 1995.
15. Duggan C, Refat M, Hashem M et al. How valid are the clinical signs of dehydration in infants? J. Pediatr. Gastroenterol. Nutr. 1996 22 : 56 61.
16. Feinstein AR, Cicchetti DV. High agreement but low kappa: I. The problems of two paradoxes. J. Clin. Epidemiol. 1990 43 : 543 549.
17. Cichetti DV, Feinstein AR. High agreement but low kappa: II. Resolving the paradoxes. J. Clin. Epidemiol. 1990 43 : 551 558.
18. Brewster D. Dehydration in acute gastroenteritis. J. Paediatr. Child Health 2002 38 : 219 222.