Evidence map›Paper›PMID 20348131›Full record

SynthesisInternational journal of epidemiology2010

The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality.

Melinda K Munos, Christa L Fischer Walker, Robert E Black

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04335877 (Effectiveness-Implementation Research to Assess the Effect of Prompting the Supply of Zinc/LO-ORS Co-packs Through the Private Sector Coupled With Behavior Change Intervention on the Treatment of Uncomplicated Childhood Diarrhoea in Kenya), which is not on this map. Cited by 142 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 11 pooled it
6.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04335877 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness-Implementation Research to Assess the Effect of Prompting the Supply of Zinc/LO-ORS Co-packs Through the Private Sector Coupled With Behavior Change Intervention on the Treatment of Uncomplicated Childhood Diarrhoea in Kenya

TypeinterventionalSponsorNutrition InternationalRan2021 to 2022Enrolled1,245ConditionsDiarrhea, InfantileArmsPrivate sector component + modified BCC
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 11 syntheses or guidelines pooled it, 312 citations in OpenAlex.

  1. Pooled it
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  3. Vitamin DBMC infectious diseases · 2023
    Pooled it
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  10. The effect of rotavirus vaccine on diarrhoea mortality.International journal of epidemiology · 2010
    Pooled it
  11. Diarrhea as a Disease of Poverty Among Under-Five Children in Sub-Saharan Africa: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  12. Trial
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  18. Right-sizing Incentives.Journal of development economics · 2026
    Article
  19. Pharmacological assessment of drugs retained in the 1Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Article
  20. Article

82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Melinda K MunosDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Christa L Fischer Walker
Robert E Black
Bloomberg (United States) · USJohns Hopkins University · US

Funding

Training in International Maternal and Child HealthT32HD046405 · NICHD · JOHNS HOPKINS UNIVERSITY · PI KATZ, JOANNE · 2006 to 2010
$1.3M
NICHD NIH HHS T32HD046405
6 · The paper itself

Abstract

backgroundMost diarrhoeal deaths can be prevented through the prevention and treatment of dehydration. Oral rehydration solution (ORS) and recommended home fluids (RHFs) have been recommended since 1970s and 1980s to prevent and treat diarrhoeal dehydration. We sought to estimate the effects of these interventions on diarrhoea mortality in children aged <5 years.

methodsWe conducted a systematic review to identify studies evaluating the efficacy and effectiveness of ORS and RHFs and abstracted study characteristics and outcome measures into standardized tables. We categorized the evidence by intervention and outcome, conducted meta-analyses for all outcomes with two or more data points and graded the quality of the evidence supporting each outcome. The CHERG Rules for Evidence Review were used to estimate the effectiveness of ORS and RHFs against diarrhoea mortality.

resultsWe identified 205 papers for abstraction, of which 157 were included in the meta-analyses of ORS outcomes and 12 were included in the meta-analyses of RHF outcomes. We estimated that ORS may prevent 93% of diarrhoea deaths.

conclusionsORS is effective against diarrhoea mortality in home, community and facility settings; however, there is insufficient evidence to estimate the effectiveness of RHFs against diarrhoea mortality.

Indexed as

Fluid TherapyHome NursingChild, PreschoolDehydrationDiarrheaDiarrhea, InfantileFemaleHumansInfantInfant, NewbornMaleNutritional RequirementsTreatment Outcome

Identifiers

PMID20348131
PMCPMC2845864
OpenAlexW2105526755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.