Annals of Emergency Medicine
Volume 41, Issue 2 , Pages 196-205 , February 2003

The value of parental report for diagnosis and management of dehydration in the emergency department

Presented in part at the American Medical Informatics Fall Symposium, Washington, DC, November 2000, and the Pediatric Academic Societies meeting, Baltimore, MD, May 2002.

Received 15 April 2002 ,Revised 4 August 2002 ,Accepted 14 August 2002.

References 

  1. Bauchner H, McCarthy PL, Sznajderman SD, et al.  Do mothers overestimate the seriousness of their infants' acute illnesses?. J Dev Behav Pediatr. 1987;8:255–259
  2. Hooker EA, Smith SW, Miles T, et al.  Subjective assessment of fever by parents: comparison with measurement by noncontact tympanic thermometer and calibrated rectal glass thermometer. Ann Emerg Med. 1996;28:313–317
  3. Cordell WH, Overhage JM, Waeckerle JF. Strategies for improving information management in emergency medicine to meet clinical, research, and administrative needs. Ann Emerg Med. 1998;31:172–178
  4. Porter SC. Patients as experts: a collaborative performance support system. Proc AMIA Symp. 2001;548–552
  5. Teich JM. Information systems support for emergency medicine. Ann Emerg Med. 1998;31:304–307
  6. Liebelt EL. Clinical and laboratory evaluation and management of children with vomiting, diarrhea, and dehydration. Curr Opin Pediatr. 1998;10:461–469
  7. Gorelick MH, Shaw KN, Murphy KO. Validity and reliability of clinical signs in the diagnosis of dehydration in children. Pediatrics. 1997;99:E6
  8. Duggan C, Refat M, Hashem M, et al.  How valid are clinical signs of dehydration in infants?. J Pediatr Gastroenterol Nutr. 1996;22:56–61
  9. MacKenzie A, Barnes G, Shann F. Clinical signs of dehydration in children. Lancet. 1989;2:605–607
  10. Reid SR, Bonadio WA. Outpatient rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis. Ann Emerg Med. 1996;28:318–323
  11. 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
  12. Bonadio WA, Hennes HH, Machi J, et al.  Efficacy of measuring BUN in assessing children with dehydration due to gastroenteritis. Ann Emerg Med. 1989;18:755–757
  13. Yilmaz K, Karabocuoglu M, Citak A, et al.  Evaluation of laboratory tests in dehydrated children with acute gastroenteritis. J Paediatr Child Health. 2002;38:226–228
  14. Fleiss JL. Statistical Methods for Rates and Proportions. 2nd ed. New York, NY: John Wiley & Sons; 1981;
  15. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  16. Gallagher EJ. Clinical utility of likelihood ratios. Ann Emerg Med. 1998;31:391–397
  17. Reeves JJ, Shannon MW, Fleisher GR. Ondansetron decreases vomiting associated with acute gastroenteritis: a randomized, controlled trial. Pediatrics. 2002;109:E62
  18. Ramsook C, Sahagun-Carreon I, Kozinetz CA, et al.  A randomized clinical trial comparing oral ondansetron with placebo in children with vomiting from acute gastroenteritis. Ann Emerg Med. 2002;39:397–403
  19. Weizman Z, Houri S, Ben-Ezer Gradus D. Type of acidosis and clinical outcome in infantile gastroenteritis. J Pediatr Gastroenterol Nutr. 1992;14:187–191

 Dr. Porter was supported in part by a Children's Hospital Scholar Grant during this project.

☆☆ Address for reprints: Stephen C. Porter MD, MPH, Division of Emergency Medicine, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115; E-mail stephen.porter@tch.harvard.edu

PII: S0196-0644(02)84928-9

doi: 10.1067/mem.2003.5

Annals of Emergency Medicine
Volume 41, Issue 2 , Pages 196-205 , February 2003