Joshua Jauregui|Daniel Nelson|Esther K. Choo|Branden Stearns|Adam C. Levine|Otto Liebmann|Sachita Shah
External Validation and Comparison of Three Pediatric Clinical Dehydration Scales
Brown University|Providence College|University of Washington|Brown University|Providence College|Brown University|Providence College|Rhode Island Hospital|Providence College|Brown University|Providence College|Brown University|Providence College|Rhode Island Hospital|Providence College
prospectively validate three popular clinical dehydration scales overall physician gestalt children vomiting diarrhea relative criterion standard percent weight change rehydrationwe prospectively enrolled nonconsecutive cohort children 18 years age acute episode diarrhea vomiting patient weight clinical scale variables physician clinical impression gestalt recorded fluid resuscitation emergency department upon hospital discharge percent weight change presentation discharge used calculate degree dehydration weight change 5 considered significant dehydration receiver operating characteristics roc curves constructed three clinical scales physician gestalt sensitivity specificity calculated based best cutpoints roc curvewe approached 209 patients 148 enrolled 113 patients complete data analysis 106 significant dehydration based criterion standard clinical dehydration scale cds gorelick scales area roc curve auc statistically different reference line aucs 072 95 ci 060 084 071 95 ci 057 085 respectively world health organization scale physician gestalt aucs 061 95 ci 045 077 061 044 078 respectively statistically significantthe gorelick scale clinical dehydration scale fair predictors dehydration children diarrhea vomiting world health organization scale physician gestalt helpful predictors dehydration cohort