Accelerated intravenous rehydration.
This study was undertaken to determine whether accelerated intravenous (i.v.) rehydration using a new Isotonic Dehydration Worksheet results in: (1) complications in serum sodium or volume status; and (2) decreased duration of i.v. fluid therapy or length of hospital stay. A retrospective cohort study utilizing chart review method was used. An intervention group of 98 children ages 1 month to 12 years treated with the Isotonic Dehydration Worksheet from December 2000 to March 2001 was compared to a control group of 61 children treated from December 1999 to March 2000 before introduction of the worksheet. Complication rates were low and did not differ between the 2 groups. Mean unadjusted lengths of i.v. therapy (35.3 vs. 33.7 hours) and of hospital stay (47.0 vs. 49.3 hours) were not significantly different between the 2 groups. Introduction of an accelerated rehydration protocol was well tolerated by patients, but did not result in a significant decrease in the outcome variables examined. Other factors may have a greater impact on the outcome variables, and a prospective study to address these questions is planned.
Kanaan
Usama
U
Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, Ohio, USA.
Dell
Katherine MacRae
KM
Hoagland
Jason
J
O'Riordan
Mary Ann
MA
Furman
Lydia
L
D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D003681:Dehydration / Q000209:etiology / Q000628:therapy*; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D007223:Infant; D007262:Infusions, Intravenous; D007552:Isotonic Solutions; D007902:Length of Stay; D008499:Medical Records; D012189:Retrospective Studies; D012964:Sodium / Q000097:blood
D007552:Isotonic Solutions; D012964:Sodium