SynthesisArchives of disease in childhood2018
Diagnostic accuracy of three clinical dehydration scales: a systematic review.
Synthesis in Archives of disease in childhood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Balanced crystalloid solutions versus 0.9% saline for treating acute diarrhoea and severe dehydration in children.The Cochrane database of systematic reviews · 2023Pooled it
- Gastroenteritis aggressive versus slow treatment for rehydration (GASTRO): a phase II rehydration trial for severe dehydration: WHO plan C versus slow rehydration.BMC medicine · 2019Trial
- Management of Acute Diarrhea in Children after Implementing the Thai Clinical Practice Guideline.Pediatric gastroenterology, hepatology & nutrition · 2026Article
- Feasibility of a non-invasive skin biomechanical device for rapid assessment of pediatric dehydration: a case-control study.BMC pediatrics · 2025Article
- Advances in the Diagnosis and Treatment of Rotavirus Infections: Narrative Review.International journal of molecular sciences · 2025Review
- Diagnostic accuracy of Gorelick 10 point scale in comparison to IMCI scale in identifying significant dehydration in South Indian children? - A prospective observational study.Journal of family medicine and primary care · 2024Article
- A New Method for Detecting Dehydration of the Human Body Using Non-Contact Millimeter Wave Radiometry.Sensors (Basel, Switzerland) · 2024Article
- Article
- A comparison of the NIRUDAK models and WHO algorithm for dehydration assessment in older children and adults with acute diarrhoea: a prospective, observational study.The Lancet. Global health · 2023Observational
- National Consensus for the Management of Acute Gastroenteritis in Jordanian Children: Consensus Recommendations Endorsed by the Jordanian Paediatric Society.International journal of pediatrics · 2022Review
- Variables Associated With Intravenous Rehydration and Hospitalization in Children With Acute Gastroenteritis: A Secondary Analysis of 2 Randomized Clinical Trials.JAMA network open · 2021Article
- Low Osmolarity Oral Rehydration Salt Solution (LORS) in Management of Dehydration in Children.Indian pediatrics · 2021Article
- Derivation of the first clinical diagnostic models for dehydration severity in patients over five years with acute diarrhea.PLoS neglected tropical diseases · 2021Article
- Acute Infectious Gastroenteritis in Infancy and Childhood.Deutsches Arzteblatt international · 2020Review
- Acute Gastroenteritis in Children of the World: What Needs to Be Done?Journal of pediatric gastroenterology and nutrition · 2020Article
- Acute Infectious Diarrhea and Gastroenteritis in Children.Current infectious disease reports · 2020Review
- Awareness and attitude towards dehydration and its management amongst mothers and factors influence on in under-five children of Omdurman locality, Sudan.Sudanese journal of paediatrics · 2020Article
- Developing a Novel Mobile Health (mHealth) Tool to Improve Dehydration Assessment and Management in Patients with Acute Diarrhea in Resource-Limited Settings.Rhode Island medical journal (2013) · 2019Article
- Universal Recommendations for the Management of Acute Diarrhea in Nonmalnourished Children.Journal of pediatric gastroenterology and nutrition · 2018Article
- Do we need repeated weight measurements to assess dehydration in children with acute gastroenteritis at the emergency department?European journal of pediatrics · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo systematically assess the diagnostic accuracy of the Clinical Dehydration Scale (CDS), the WHO Scale and the Gorelick Scale in identifying dehydration in children with acute gastroenteritis (AGE).
designThree databases, two registers of clinical trials and the reference lists from identified articles were searched for diagnostic accuracy studies in children with AGE. The index tests were the CDS, WHO Scale and Gorelick Scale, and reference standard was the percentage loss of body weight. The main analysed outcomes were the sensitivity, specificity, positive likelihood ratio (LR) and negative LR.
resultsTen studies were included. In high-income countries, the CDS provided a moderate-to-large increase in the post-test probability of predicting moderate to severe (≥6%) dehydration (positive LR 3.9-11.79), but it was of limited value for ruling it out (negative LR 0.55-0.71). In low-income countries, the CDS showed limited value both for ruling in and ruling out moderate-to-severe dehydration. In both settings, the CDS showed poor diagnostic accuracy for ruling in or out no dehydration (<3%) or some dehydration (3%-6%). The WHO Scale showed no or limited value in assessing dehydration in children with diarrhoea. With one exception, the included studies did not confirm the diagnostic accuracy of the Gorelick Scale.
conclusionLimited evidence suggests that the CDS can help in ruling in moderate-to-severe dehydration (≥6%) in high-income settings only. The WHO and Gorelick Scales are not helpful for assessing dehydration in children with AGE.
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What OpenQuestion holds
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.