title: Hypodermoclysis (subcutaneous infusion) effective mode of treatment of dehydration in long-term care patients.
abstract: Dehydration is associated with morbidity and mortality in frail elderly patients. Intravenous fluid administration in these patients is sometimes hard, especially in agitated patients. The purpose of this study was to review of 57 long-termed care patients received hypodermoclysis infusion on 118 different occasions during the 9 months. Data collection included: demographic data, functional and mental status, indication hypodermoclysis, duration of the infusion, type of solution, laboratory data, adverse effects, and outcome. The main reasons for initiation of the hypodermoclysis were either dehydration (64%) or febrile illness (21%). The average duration of infusions was 15.9 days and average daily volume was 1161 ml per day. After hydration by hypodermoclysis, in 77% of the patients, clinical improvement occurred manifested as general improvement (88%), cognitive status improvement (84%), and improved oral intake (81%). During the course of the study, failure of the treatment was observed in 12% of the patients, mortality of 11% was observed. Nobody developed signs of fluid overload. Local complications were reported in 12% of patients: local swelling (6/57), complain of local pain at site (3/57) and local inflammation (2/57). Hypodermoclysis is a safe, effective and suitable alternative to intravenous re-hydration in long-term care patients.
authors.affiliation: Frieda Schiff Warburg Geriatric Center, Dora, Netanya, Israel.
authors.forename: Zeev
authors.initials: Z
authors.lastname: Arinzon
authors.forename: Jacob
authors.initials: J
authors.lastname: Feldman
authors.forename: Zeev
authors.initials: Z
authors.lastname: Fidelman
authors.forename: Reuven
authors.initials: R
authors.lastname: Gepstein
authors.forename: Yitshal N
authors.initials: YN
authors.lastname: Berner
mesh_terms: D000368:Aged; D003681:Dehydration / Q000628:therapy*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D015577:Geriatric Assessment; D006801:Humans; D007279:Injections, Subcutaneous; D008134:Long-Term Care; D008297:Male; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome